Abstract
Musculoskeletal System Signs In Chronic Haemodialysis Patients
In order to determine the prevalence and distribution of locomotor system signs and symptoms in haemodialysis patients we conducted a survey in haemodialysis centre at Ondokuzmayıs University. Thirthy patients, dialysed over a long period have been exa¬mined clinically and radiologically to evaluate their musculoskeletal problems. There were 17 women (%56.6) and 13 men (%43.3). The mean age of the patients was 34+2.5 (range 15-60). The cause of the renal failure was chronic glomerulonephritis (36.6%), renal anomaly (30%), renal tuberculosis (6.6%), nephrolithiasis (6.6%), chronic pyelo¬nephritis (3.3%), amyloidosis (3.3%) or was unknown (13.3%). The average duration of dialysis at the beginning of the study was 60.7+7.6 months (range 6-120). All of the patients were dialysed with cuprophane membranes. At the end of the study we found that 24 patients (80%) had muscle cramps and 14 patients (46.6%) had arthralgia. Ra¬diological abnormalities were found in 14 patients (46.6%). The 14 patients with arti¬cular involvement were compared with the 16 dialysis patients free of these clinical abnormalities. The affected patients were significantly older at the start of the dialysis than the unaffected patients. We found no correlation between the duration of the dia¬lysis and articular involvement
Bu çalışma; kronik hemodializ hastalarında görülen romatolojik bulguların sıklığını ve dağılımını incelemek amacıyla planlandı. Ondokuzmayıs Üniversitesi Tıp Fakültesi He-modializ ünitesinde takip ve tedavi edilmekte olan 30 hasta romatolojik yakınmaları yönünden klinik ve radyolojik olarak incelendi. Hastaların % 80'inde kas krampları, % 46.6'sında artralji saptandı. Ondört olguda (%46.6) radyolojik bulgu vardı. Radyolojik bulgular; %40 osteoporoz, %20 spondylartroz, %20 yumuşak doku kalsifikasyonu, %26.6 juxtaartikuler erozyon, %6.6 kistik değişimler ve %6.6 periferik eklemlerde dejeneratif artroz şeklinde sıralanıyordu. Artraljisi olan ve olmayan gruplar arasında; cins, dialize götüren sebep ve toplam dializ süresi arasında fark yoktu. Ancak dialize başlangıç yaşı ile artralji arasında anlamlı bir korelasyon vardı (p<0.05).
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| Primary Language | English |
|---|---|
| Journal Section | Basic Medical Sciences |
| Authors | |
| Publication Date | December 22, 2009 |
| Submission Date | November 30, 2009 |
| Published in Issue | Year 1993 Volume: 10 Issue: 1-2 |
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