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Proceedings of the European Dialysis and Transplant Association
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Siddiqui JY, Simpson SW, Ellis HE, Kerr DNS, Appleton DR, Robinson BH, Hawkins JB, Robertson PW, Taves DR.
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8:149-160.
Abstract
Symptomatic osteodystrophy is uncommon in patients on RDT in Birmingham, it appears late and is associated with pronounced osteitus fibrosa. In Newcastle osteodystrophy is common and severe; it appears earlier and is associated with multiple fractures but not accompanied by radiological evidence of osteitis fibrosa. These differences cannot be explained by variations in exposure to fluoride but a pilot study suggests that some solute in the tap water may be responsible.