| Theme | Diagnostic imaging in abnormal bone metabolism : from basics to cutting edge | |
|---|---|---|
| Title | Radiological aspects of bone diseases related to renal failure | |
| Publish Date | 2011/04 | |
| Author | Satoshi Tatsuno | Department of Radiology, Tokyo Dental College Ichikawa General Hospital |
| Author | Kazuo Miida | Department of Radiology, Tokyo Dental College Ichikawa General Hospital |
| Author | Masako Kimura | Department of Radiology, Tokyo Dental College Ichikawa General Hospital |
| Author | Yutaka Aoyagi | Department of Radiology, Tokyo Dental College Ichikawa General Hospital |
| [ Summary ] | Renal osteodystrophy is usually diagnosed after treatment for end-stage renal disease. X-rays display bone features related to renal osteodystrophy (combination of hyperparathyroidism, osteoporosis, osteomalacia or chondrolcalcinosis). However, it may be difficult to differentiate this condition from other conditions such as benign or malignant bone tumors. CT and MRI are useful in developing differential diagnosis in some cases. Cystic changes and erosive-type osteoarthropathy affecting the appendicular skeleton have also been described in association with amyloid deposition in long-time dialysis patients. We should be familiar with aspects of destructive spondyloarthropathy, pseudotumors of atlanoaxial joint and spinal canal stenosis, which are disorders related to amyloidal osteoarthropathy. Differential diagnosis of destructive spondyloarthropathy includes the ability to recognise infectious spondylitis. | |