Inadvertent Aluminum Administration during Plasma Exchange Due to Aluminum Contamination of Albumin-Replacement Solutions
- 17 January 1985
- journal article
- case report
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 312 (3), 165-167
- https://doi.org/10.1056/nejm198501173120307
Abstract
ALUMINUM can accumulate in patients with reduced renal function due to impaired excretion of aluminum1 , 2 and in patients with normal renal function who receive large parenteral amounts of aluminum.3 Manifestations of aluminum toxicity include vitamin D–refractory osteodystrophy, hypercalcemia, anemia, and severe progressive encephalopathy.4 5 6 Aluminum-related osteodystrophy is characterized by increased bone aluminum content, with aluminum deposits along the mineralization front, impaired mineralization, and a reduced rate of bone formation.7 Clinical correlates of the bone abnormalities include bone pain, proximal myopathy, and in some patients pathologic fractures.8 Aluminum-related encephalopathy is frequently fatal.9 Recognized sources of aluminum include water used for dialysis, solutions . . .Keywords
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