Diaphyseal femoral fracture due to severe vitamin D₃ deficiency and low parathyroid hormone levels on long-term hemodialysis: a case report.

ABSTRACT:

Introduction

Currently, there are no reports of diaphyseal femoral fracture equivalent to atypical femoral fractures (AFFs) in patients receiving long-term hemodialysis (HD).

Case report

A 56-year-old Japanese man receiving long-term HD for 34 years was admitted to our hospital due to a delay in postoperative healing. The patient began maintenance hemodialysis at 22 years of age. The patient then underwent surgical parathyroidectomy (PTX) for secondary hyperparathyroidism at 43 years of age, which resulted in decreased levels of parathyroid hormone (PTH). Thereafter, this patient's serum 1,25(OH)₂ D₃ level was very low because active vitamin D₃ derivative was not administered. At 54 years of age, a transverse fracture of the femoral shaft equ

SUBMITTER: Hatano M 

PROVIDER: S-EPMC7661412 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature