Abstract | OBJECTIVE: STUDY DESIGN: Linear growth, bone accrual, renal function, and mineral homeostasis were studied in a long-term observational study of PTH 1-34 injection therapy in 14 children. METHODS: RESULTS: Mean height velocity and lumbar spine, whole body, and femoral neck bone accretion velocities were normal throughout the study. In the first 2 years, distal one-third radius bone accrual velocity was reduced compared with normal children (P < .003). Serum alkaline phosphatase correlated with PTH 1-34 dose (P < .006) and remained normal (235.3 ± 104.8 [SD] U/L, N: 51-332 U/L). Mean serum and 24-hour urine calcium levels were 2.05 ± 0.11 mmol/L (N: 2.05-2.5 mmol/L) and 6.93 ± 1.3 mmol/24 hour (N: 1.25-7.5 mmol/24 hour), respectively-with fewer high urine calcium levels vs baseline during calcitriol and calcium treatment (P < .001). Nephrocalcinosis progressed in 5 of 12 subjects who had repeated renal imaging although renal function remained normal. CONCLUSIONS:
|
Authors | Karen K Winer, Andrea Kelly, Alicia Johns, Bo Zhang, Karen Dowdy, Lauren Kim, James C Reynolds, Paul S Albert, Gordon B Cutler Jr |
Journal | The Journal of pediatrics
(J Pediatr)
Vol. 203
Pg. 391-399.e1
(12 2018)
ISSN: 1097-6833 [Electronic] United States |
PMID | 30470382
(Publication Type: Journal Article, Observational Study, Research Support, N.I.H., Intramural)
|
Copyright | Published by Elsevier Inc. |
Chemical References |
- CASR protein, human
- Parathyroid Hormone
- Receptors, Calcium-Sensing
- Vitamin D
- Phosphorus
- Creatinine
- Calcium
|
Topics |
- Adolescent
- Body Height
(drug effects)
- Calcinosis
- Calcium
(blood, urine)
- Child
- Creatinine
(urine)
- DNA Mutational Analysis
- Female
- Homeostasis
- Hormone Replacement Therapy
- Humans
- Hypoparathyroidism
(drug therapy)
- Kidney Function Tests
- Linear Models
- Male
- Nephrocalcinosis
(metabolism)
- Parathyroid Hormone
(administration & dosage, therapeutic use)
- Phosphorus
(blood, urine)
- Polyendocrinopathies, Autoimmune
(genetics)
- Receptors, Calcium-Sensing
(genetics)
- Treatment Outcome
- Vitamin D
(blood)
|