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Revista Brasileira de Reumatologia
On-line version ISSN 1809-4570
VIEIRA, Walber Pinto et al. Musculoskeletal manifestations in patients under hemodialysis. Rev. Bras. Reumatol. [online]. 2005, vol.45, n.6, pp.357-364. ISSN 1809-4570. http://dx.doi.org/10.1590/S0482-50042005000600005.
Musculoskeletal manifestations in hemodialysis patients are numerous and frequent, being more prevalent in those undergoing long duration dialytic treatment. Arthralgia is the most commom symptom, occurring in more than 70% of patients. Secondary hyperparathyroidism is the main cause of bone renal disease, and clinical manifestations are bone pain, arthralgia and pruritus. Amyloidosis, due to b2-microglobulin deposition in tissues, manifests as shoulder pain, carpal tunnel syndrome, trigger finger, spontaneous tendon rupture and pathological fractures. Other musculoskeletal manifestations observed are crystal-induced arthritis, avascular necrosis, septic arthritis, muscle weakness and muscle cramps.
Keywords : musculoskeletal manifestations; hemodialysis; hyperparathyroidism; amyloidosis.