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Journal of Medical Case Reports

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Open Access 01-12-2010 | Case report

Reversible bone pain and symmetric bone scan uptake in a dialysis patient treated with cinacalcet: a case report

Authors: Oliver Lenz, Rhea Sancassani, Carla Bottino, Alessia Fornoni

Published in: Journal of Medical Case Reports | Issue 1/2010

Abstract

Introduction

The medical management of secondary hyperparathyroidism in patients with end-stage renal disease involves a combination of dietary restrictions, phosphate binders, active vitamin D analogs, and calcimimetics.

Case presentation

We report the case of a 36-year-old Hispanic dialysis patient, originally from Cuba and now residing in the USA, who developed severe bone pain and muscle twitching after starting low dose cinacalcet, despite normal pre-dialysis ionized calcium and elevated parathyroid hormone. The clinical symptoms correlated with increased symmetrical uptake on bone scan that resolved rapidly upon discontinuation of cinacalcet.

Conclusion

Cinacalcet may induce severe bone pain and a unique bone scan uptake pattern in hemodialysis patients.

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Title: Reversible bone pain and symmetric bone scan uptake in a dialysis patient treated with cinacalcet: a case report
Authors: Oliver Lenz
Rhea Sancassani
Carla Bottino
Alessia Fornoni
Publication date: 01-12-2010
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/1752-1947-4-191

At a glance: The STEP trials

Springer Medicine

Reversible bone pain and symmetric bone scan uptake in a dialysis patient treated with cinacalcet: a case report

Abstract

Introduction

Case presentation

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

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