The role of bone biopsy for the diagnosis of renal osteodystrophy: a short overview and future perspectives

• Type: Another Publication in an International Scientific Journal
• Date: 2016

Authors

Carvalho, C (Author) Other; Alves, CM (Author) FMUP; João Frazão (Author) FMUP

Journal

Title: Journal of Nephrology

Vol. 29

Pages: 617-626

ISSN: 1121-8428

Publisher: Springer Nature

Indexing

ISI Web of Knowledge - 11 Citations

Scopus - 13 Citations

Other information

Authenticus ID: P-00K-W9Y

DOI: 10.1007/s40620-016-0339-9

Abstract (EN): Chronic kidney disease (CKD) patients present specific bone and mineral metabolism disturbances, which account for important morbidity and mortality. The term renal osteodystrophy, classically used for the nomination of CKD-associated bone disorder, has been limited to the histologic description of bone lesions, requiring the use of bone biopsy. Biochemical markers and imaging tools do not adequately predict the complex bone changes that are observed in renal osteodystrophy. Parathyroid hormone, which is a universally used biomarker of bone turnover in clinical practice, lacks specificity and sensitivity. Therefore, tetracycline double-labelled transiliac bone biopsy, with bone histology and histomorphometric evaluation, remains the best clinical tool to discriminate bone turnover and to evaluate the other dimensions of renal osteodystrophy. This review will focus on the value of classic bone histomorphometric analysis of trabecular bone in CKD patients and unfold new perspectives of this diagnostic tool, including cortical bone evaluation and bone tissue immunohistochemistry.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 10