Arthritis Associated With Calcium Oxalate Crystals in an Anephric Patient Treated With Peritoneal Dialysis
- Ann Rosenthal, MD;
- Lawrence M. Ryan, MD;
- Daniel J. McCarty, MD
Abstract
We report a case of calcium oxalate arthropathy in a woman undergoing intermittent peritoneal dialysis who was not receiving pharmacologic doses of ascorbic acid. She developed acute arthritis, with calcium oxalate crystals in Heberden's and Bouchard's nodes, a phenomenon previously described in gout. Intermittent peritoneal dialysis may be less efficient than hemodialysis in clearing oxalate, and physicians should now consider calcium oxalate-associated arthritis in patients undergoing peritoneal dialysis who are not receiving large doses of ascorbic acid.
(JAMA 1988;260:1280-1282)
Footnotes
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Reprint requests to Department of Medicine, Medical College of Wisconsin, 8700 W Wisconsin Ave, Box 118, Milwaukee, WI 53226 (Dr Rosenthal).
