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Perit Dial Int 4(3): 129-136 1984
© 1984 International Society for Peritoneal Dialysis
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REVIEWS AND ORIGINAL ARTICLES

RENAL OSTEODYSTROPHY AND THE STATUS OF ALUMINUM AND OTHER TRACE METALS IN CAPD PATIENTS: A PANEL * REVIEW

Vito Campese(1), Ronald E. Easterling(2), Fred Finkelstein(3), William Mattern(4), David A. Ogden(5), Robert W. Steiner(6) and Dimitrios G. Oreopoulos(7)

From the Univ. Southern California Med Ctr, L.A. Ca 90033(1) , Hurley Med Ctr, Flint Mich 48502(2) , 30 Alson Ave, New Haven Conn. 60515(3) ,3034 Old Clinic Bldg, Chapel Hill, N. Carolina 27514 (4) , Arizona Hlth Sci Ctr, Tucson Az 85724(5) , UCSO Medical Center, San Diego, Ca 92103(6) , and Toronto Western Hospital, Toronto, Canada(7) .

Most reports indicate that in patients on CAPD, hyperparathyroid bone disease progresses, while osteomalacia improves. With 1.5g% Dianeal, and when dialysate Ca is 7mg%, peritoneal mass transfer of calcium is positive, i.e., it is absorbed from the solution, while with hypertonic solutions it is less positive or even negative. Daily phosphorus removal by CAPD is insufficient to control serum phosphorus, hence CAPD patients require phosphate binders and/or phosphate restriction. Peritoneal phosphorus removal is greater with hypertonic than with isotonic solutions.






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