학술논문

Denosumab associated with bone density increase and clinical improvement in a long-term hemodialysis patient. Case report and review of the literature
Document Type
TEXT
Source
Acta medica (Hradec Králové) | 2014 Volume:57 | Number:1
Subject
dospělí
monoklonální protilátky humanizované--aplikace a dávkování--škodlivé účinky
kostní denzita
inhibitory kostní resorpce--aplikace a dávkování--škodlivé účinky
ženské pohlaví
lidé
chronické selhání ledvin--komplikace--terapie
osteoporóza--komplikace--farmakoterapie
hemodialýza
Language
English
Abstract
Denosumab is a human monoclonal antibody representing a novel therapy of osteoporosis. Contrary to always other antiosteoporotic drugs, it is not contraindicated in advanced chronic kidney disease, as its pharmacokinetic does not differ from patients with normal kidney function. However, published case reports in chronic kidney disease (CKD) patients stopped the therapy after single dose because of hypocalcemia. We present a case of successful treatment of osteoporosis in a young hemodialysis patient with repeated denosumab doses.
Sylvie Dusilová Sulková, Jiří Horáček, Roman Šafránek, Petr Gorun, Ondřej Viklický, Vladimír Palička