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Aluminum and renal failure (Hardcover, 1990 ed.)
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Aluminum and renal failure (Hardcover, 1990 ed.)
Series: Developments in Nephrology, 26
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Increasing the accumulation of aluminum in the bone (body) in cases
of renal osteodystrophy may influence the histopathologic aspect of
the bones. Alumi- num blunts the effect of increased PTH secretion
and favours the genesis of osteoid. That means, in cases of renal
failure combined with aluminum accumulation, a relatively low bone
tunover is found and no fibrosis of the bone marrow. Furthermore
the amount of osteoid is increased. This means that there is
evidence of osteomalacia especially when the latter is defined as
an increased amount of osteoid covered with a relatively low number
of cubic osteoblasts. To a certain extent the effect of aluminum
accumulation is comparable to the effect of PTX. Treatment with DFO
may normalize the bone, although not necessarily with a
concomittant disappearance of alumi- num from the bone. The
presence of aluminum in the bone can be suggested by routine
histologic investigation of the bone and can be made rather
probably by the aluminum staining combined with iron-staining, but
can only be proven by more advanced techniques like ET AAS and
LAMMA. References 1. Boyce BF, Elder HY, Elliot HL, Fogelman I,
Gell GS, lunor Bl, Beastall G, Boyle YT, 1982: Hypercaicaemic
ostemalacia due to aluminium toxicity. Lancet 6: 1009. 2. Verbueken
AH, Visser Wl, Van de Vyver FL, Van Grieken RE, De Broe ME, 1986:
The use of laser microprobe mass analysis (LAMMA) to control the
staining of aluminum by aurin tricarboxylate (aluminon). Stain
Technology 61: 287.
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