The ferrous stock evaluation can be done to-day in a repetitive manner through the serum ferritin radio-assay. In 33 hemodialyzed patients, the ferrous lack is frequent and was found with a rate of 62%. It is profound in four cases and concealed in 17 cases. The serum ferritin has no correlation with the ordinary hematologic and biologic parameters. Its value stays in the Ag HBs positive patient. The oral ferrous treatment to the patient with a low ferritin rate (less than 30 ng/ml) induces a ferritin and a hemoglobin rate increased, so confirming the therapeutic efficacy when done with a rational prescription.

Adult↗

PubMedDate not supplied

[The bony scan at 99m Tc pyrophosphate in the chronic kidney deficiency treated by hemodialysis (author's transl)].

The bony scan at 99m Tc pyrophosphate of thirty chronic hemodialyzed patients have been classified in four groups of increasing fixation according to Olgaard's criterions. The clinical, radiological symptoms of renal osteodystrophy the alkalin phosphatases and the PTHi rate have been compared. Twenty-six scans show a noticeable fixation (stage II) or an important one (stage III--eleven patients). The third stage patients have more important radiographical symptoms, a more important rate of alkalin phosphatases and PTHi rate than those of the second stage. According to our observations and those of literature, the scan at 99m Tc PP allow an early and faithful diagnosis of renal osteodystrophy. It seems to represent the increase of the osteoid immature tissue, which is the usual characteristic of the renal osteodystrophy.

Adult↗