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Conservative Management in Patients With Renal Insufficiency

Mordecai M. Popovtzer, MD; Wulf F. Pinggera, MD; John B. Robinette

JAMA. 1975;231(9):960-962.

Abstract
In three patients with advanced renal disease (inulin clearance, 4.6 to 9.1 ml/min) and systemic manifestations of secondary hyperparathyroidism, concentrations of serum calcium and phosphorus were maintained within our normal limits (9 and 3.5 mg/100 ml, respectively) with phosphate-binding antacids and orally given calcium carbonate. The result was progressive disappearance of symptoms related to secondary hyperparathyroidism, healing of osteitis fibrosa, and normalization of serum concentrations of immunoreactive parathyroid hormone.

(JAMA 231:960-962, 1975)

Author Affiliations
From the Department of Medicine, University of Colorado Medical Center and Veterans Administration Hospital, Denver. Dr. Popovtzer is now with the Temple University School of Medicine, Philadelphia.

Footnotes
Reprint requests to Department of Medicine, Temple University School of Medicine, 3400 N Broad St, Philadelphia, PA 19140 (Dr. Popovtzer).

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