만성 콩팥병 환자에서 골다공증
Osteoporosis in Patients with Chronic Kidney Disease
권영주,
소속 상세정보
권영주 ( Kwon Young-Joo )
고려대학교 의과대학 신장내과
Abstract
Osteoporosis in chronic kidney disease (CKD) is also referred to as ‘CKD with low bone mineral density (BMD)’, because the cause of low BMD in CKD includes chronic kidney disease-mineral bone disorders (CKD-MBD) such as secondary hyperparathyroidism, osteomalacia, and adynamic bone disease. Diagnostic methods of osteoporosis in CKD include FRAX®, BMD, and bone turnover markers as well as CKD-MBD biochemical parameters- calcium, P, alkaline phosphatase, PTH, and 25(OH)D3. The management of osteoporosis in CKD prioritizes CKD-MBD management over selection of bone anti-resorptive agents or osteo-anabolic agents according to clinical and laboratory findings.
키워드
Chronic kidney failure; Chronic kidney insufficiency; Osteoporosis; Chronic kidney disease mineral bone disorder
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