Document Detail


Sequential rupture of triceps and quadriceps tendons in a dialysis patient using hormone supplements.
MedLine Citation:
PMID:  21269588     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Spontaneous rupture of tendons is rare, and typically occurs in large weight bearing tendons such as the quadriceps, Achilles and patellar tendon, in the context of various chronic diseases including end-stage renal disease. In general, tendon rupture in dialysis patients is associated with hyperparathyroidism, long duration of dialysis, steroid and quinolone use. We present a case of a young man on chronic dialysis who presented with sequential rupture of triceps and quadriceps tendons requiring surgical repair, several months after initiating use of multiple hormone supplements including human growth hormone and androgens. The supplements were obtained over the internet with the aim of improving his kidney function. Although this patient did have hyperparathyroidism, it is likely his PTH elevation was exacerbated by use of human growth hormone, and tendon rupture risk increased by concurrent use of an androgen supplement. This case highlights the fact that dialysis patients do utilize alternative remedies and that there may be unexpected, dialysis-specific complications associated with their use.
Authors:
I Soo; J Christiansen; D Marion; M Courtney; V A Luyckx
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Clinical nephrology     Volume:  75     ISSN:  0301-0430     ISO Abbreviation:  -     Publication Date:    2011 Sup
Date Detail:
Created Date:  2011-1-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0364441     Medline TA:  Clin Nephrol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  20-23     Citation Subset:  -    
Affiliation:
1Department of Medicine, 2University of Alberta Medical School, and 3Division of Nephrology, Edmonton, Alberta, Canada *Joint first authors.
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