{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:03:13Z","timestamp":1705017793654},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[1989,3,1]],"date-time":"1989-03-01T00:00:00Z","timestamp":604713600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1989,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Forty\u2010one patients in chronic end\u2010stage renal failure and 4 patients with a functioning kidney transplant presented with spontaneous hypercalcemia or intolerance to vitamin D<jats:sub>3<\/jats:sub> sterols and\/or oral calcium supplements. Bone iliac crest biopsy with aluminum staining and Tc\u2010pyrophosphate bone scintigraphy with determination of Fogelman score were performed in all cases. Two patients had aluminum\u2010induced osteomalacia (AL O). Thirty\u2010eight biopsies showed renal osteodystrophy (secondary hyperparathyroidism or various combinations of osteitis fibrosa and osteomalacia): 19 with positive staining for aluminum (RO + AL) and 19 without aluminum deposits (RO). The series also comprised 2 cases of pure osteomalacia (OM), 2 cases of osteoporosis (OP), and 1 case of osteoporosis with aluminum accumulation (OP + AL). Mean Fogelman score in RO patients (9.1\u00b10.3) was significantly higher than in all other categories (5.9\u00b10.5 for RO + AL, and scores ranging from 0 to 8\u00a0in the last 7 patients,<jats:bold><jats:italic>p<\/jats:italic><\/jats:bold>&lt;0.01). Patients with massive aluminum accumulation in bone (&gt;75% of the total trabecular surface) showed no or very low uptake of the isotope by the skeleton. Fogelman scores of 9 or higher were always associated with histological secondary hyperparathyroidism.<jats:sup>99m<\/jats:sup>Tc\u2010pyrophosphate bone scintigraphy is helpful to distinguish aluminum intoxication from secondary hyperparathyroidism in uremic patients.<\/jats:p>","DOI":"10.1007\/bf01658405","type":"journal-article","created":{"date-parts":[[2005,5,9]],"date-time":"2005-05-09T05:41:26Z","timestamp":1115617286000},"page":"219-223","source":"Crossref","is-referenced-by-count":3,"title":["Differential diagnosis between secondary hyperparathyroidism and aluminum intoxication in uremic patients: Usefulness of<sup>99m<\/sup>Tc\u2010pyrophosphate bone scintigraphy"],"prefix":"10.1002","volume":"13","author":[{"given":"Paul","family":"Kinnaert","sequence":"first","affiliation":[{"name":"Cliniques Universitaires de Bruxelles H\u00f4pital Erasme Brussels Belgium"},{"name":"H\u00f4pital Universitaire Brugmann Universit\u00e9 Libre de Bruxelles Brussels Belgium"},{"name":"D\u00e9partement M\u00e9dico\u2010Chirurgical de N\u00e9phrologie, Dialyse, et Transplantation Cliniques Universitaires de Bruxelles H\u00f4pital Erasme Route de Lennik 808 B 1070 Brussels Belgium"},{"name":"Vrije Universiteit Brussel Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Van Hooff","sequence":"additional","affiliation":[{"name":"Cliniques Universitaires de Bruxelles H\u00f4pital Erasme Brussels Belgium"},{"name":"H\u00f4pital Universitaire Brugmann Universit\u00e9 Libre de Bruxelles Brussels Belgium"},{"name":"Vrije Universiteit Brussel Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9","family":"Schoutens","sequence":"additional","affiliation":[{"name":"Cliniques Universitaires de Bruxelles H\u00f4pital Erasme Brussels Belgium"},{"name":"H\u00f4pital Universitaire Brugmann Universit\u00e9 Libre de Bruxelles Brussels Belgium"},{"name":"Vrije Universiteit Brussel Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Bergmann","sequence":"additional","affiliation":[{"name":"Cliniques Universitaires de Bruxelles H\u00f4pital Erasme Brussels Belgium"},{"name":"H\u00f4pital Universitaire Brugmann Universit\u00e9 Libre de Bruxelles Brussels Belgium"},{"name":"Vrije Universiteit Brussel Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Fuss","sequence":"additional","affiliation":[{"name":"Cliniques Universitaires de Bruxelles H\u00f4pital Erasme Brussels Belgium"},{"name":"H\u00f4pital Universitaire Brugmann Universit\u00e9 Libre de Bruxelles Brussels Belgium"},{"name":"Vrije Universiteit Brussel Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Dratwa","sequence":"additional","affiliation":[{"name":"Cliniques Universitaires de Bruxelles H\u00f4pital Erasme Brussels Belgium"},{"name":"H\u00f4pital Universitaire Brugmann Universit\u00e9 Libre de Bruxelles Brussels Belgium"},{"name":"Vrije Universiteit Brussel Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Vienne","sequence":"additional","affiliation":[{"name":"Cliniques Universitaires de Bruxelles H\u00f4pital Erasme Brussels Belgium"},{"name":"H\u00f4pital Universitaire Brugmann Universit\u00e9 Libre de Bruxelles Brussels Belgium"},{"name":"Vrije Universiteit Brussel Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Lambert","family":"Pasteels","sequence":"additional","affiliation":[{"name":"Cliniques Universitaires de Bruxelles H\u00f4pital Erasme Brussels Belgium"},{"name":"H\u00f4pital Universitaire Brugmann Universit\u00e9 Libre de Bruxelles Brussels Belgium"},{"name":"Vrije Universiteit Brussel Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean","family":"van Geertruyden","sequence":"additional","affiliation":[{"name":"Cliniques Universitaires de Bruxelles H\u00f4pital Erasme Brussels Belgium"},{"name":"H\u00f4pital Universitaire Brugmann Universit\u00e9 Libre de Bruxelles Brussels Belgium"},{"name":"Vrije Universiteit Brussel Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Louis","family":"Vanherweghem","sequence":"additional","affiliation":[{"name":"Cliniques Universitaires de Bruxelles H\u00f4pital Erasme Brussels Belgium"},{"name":"H\u00f4pital Universitaire Brugmann Universit\u00e9 Libre de Bruxelles Brussels Belgium"},{"name":"Vrije Universiteit Brussel Brussels 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