Show Summary Details
Page of

Rheumatological complications of renal disease and transplantation 

Rheumatological complications of renal disease and transplantation
Chapter:
Rheumatological complications of renal disease and transplantation
Author(s):

Sharmin Nizam

, Zunaid Karim

, and Paul Emery

DOI:
10.1093/med/9780199579655.003.0175
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 23 September 2020

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.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.