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Composition of the domestic water supply and the incidence of fractures and encephalopathy in patients on home dialysis.
Open accessAbstract
Of the 202 patients undergoing home dialysis in the Trent region, 11 developed dialysis encephalopathy, 21 suffered spontaneous fractures, and 36 who had undergone dialysis for over four years had neither of these complications. Because the incidence of complications seemed to be unevenly distributed the water supplies were analysed. Water supplied to the homes of the patients with fractures or encephalopathy contained significantly less calcium and fluorine and significantly more aluminium and manganese than that piped to patients without these complications. The high aluminium concentrations in the bone of patients with encephalopathy was confirmed, but aluminium concentrations in the brains from three patients with encephalopathy were not increased. Patients who undergo dialysis in areas where water contains high aluminium concentrations should be supplied with deionisers.
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Citations
Cited by
Aluminum localization in bone from hemodialyzed patients: Relationship to matrix mineralization
Cournot-Witmer, G., Zingraff, J., Plachot, J. J., Escaig, F., Lefèvre, R., Boumati, P., Bourdeau, A., Garabédian, M., Galle, P., Bourdon, R., et al. (1981) · Kidney International · doi:10.1038/ki.1981.149 · Cited by 271
Suppression of parathyroid hormone secretion by aluminum
Morrissey, J., Rothstein, M., Mayor, G., & Slatopolsky, E. (1983) · Kidney International · doi:10.1038/ki.1983.81 · Cited by 193
Aluminium content of foods and diets
Pennington, J. A. T. (1988) · Food Additives and Contaminants · doi:10.1080/02652038809373696 · Cited by 148
The Clinical Biochemistry of Aluminum
King, S. W., Savory, J., Wills, M. R., & Gitelman, H. J. (1981) · CRC Critical Reviews in Clinical Laboratory Sciences · doi:10.3109/10408368109105861 · Cited by 105
Aluminum and Chronic Renal Failure: Sources, Absorption, Transport, and Toxicity
Wills, M. R., & Savory, J. (1989) · Critical Reviews in Clinical Laboratory Sciences · doi:10.3109/10408368909106590 · Cited by 100
Metadata
- Authors
- Platts, M. M., Goode, G. C., & Hislop, J. S.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1977-09-10
- Volume
- 2
- Issue
- 6088
- Pages
- 657-660
- ISSN
- 0007-1447 (ISSN-L)
- 1468-5833
- OpenAlex
- W2037581462
- Cited by
- 239
- References
- 0
- FWCI
- 15.80
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Platts, M. M., Goode, G. C., & Hislop, J. S. (1977). Composition of the domestic water supply and the incidence of fractures and encephalopathy in patients on home dialysis. BMJ. https://doi.org/10.1136/bmj.2.6088.657
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