Chapter

Rheumatological complications of renal disease and transplantation

Sharmin Nizam, Zunaid Karim and Paul Emery

in Rheumatology and the Kidney

Second edition

Published on behalf of Oxford University Press

Published in print April 2012 | ISBN: 9780199579655
Published online February 2013 | e-ISBN: 9780191763472 | DOI: http://dx.doi.org/10.1093/med/9780199579655.003.0175

Series: Oxford Clinical Nephrology Series

Rheumatological complications of renal disease and transplantation

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1. Both acute and chronic musculoskeletal problems can significantly affect morbidity of renal transplant patients 2. It is important to correct predisposing risk factors of renal osteodystrophy such as hyperparathyroidism 3. Aim for optimization of steroid-sparing immunosuppression to reduce risk of osteopaenia and osteonecrosis. 4. Joint aspiration should always be considered in the case of an acute hot joint. 5. Systemic features (fever, rigors) may be absent in septic joints in patients on immunosuppressants (e.g. post transplant). 6. Gout is more common in renal insufficiency than renal failure/dialysis patients and can occur any time post transplant (even years). 7. Avoid loop and thiazide diuretics if possible to reduce risk of gout.

Chapter.  5001 words. 

Subjects: Nephrology

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