1 alpha OH vitamin D3 increases plasma aluminium in haemodialysed patients taking Al (OH)3.

A Fournier, R Demontis, Y Tahiri, M Herve, P Moriniere, A Leflon, Z Abdull-Massih, H Atik, S Benelmouffok
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Abstract

1 alpha OH vitamin D3 at the dose of 6 micrograms per week was given for four weeks to 16 stable patients on chronic haemodialysis with a low dialysate aluminium while taking a constant dose of Al(OH)3. A significant increase of their plasma aluminium was observed while on 1 alpha(OH)D3 therapy and during the six weeks following. This increase correlated with the cumulative dose of Al(OH)3 and duration on dialysis but not with the recent dose of Al(OH)3. The increase in plasma aluminium observed with 1 alpha(OH)D3 and after its discontinuation is more likely to be due to aluminium redistribution than to increased intestinal aluminium absorption. This effect indicates the need for close monitoring of plasma aluminium in uraemic patients treated with 1 alpha(OH)D3.

服用Al (OH)3的血液透析患者血浆铝增加。
1 α OH维生素D3以6微克/周的剂量给予16例低透析液铝的慢性血液透析稳定患者,同时服用恒定剂量的Al(OH)3。在1 α (OH)D3治疗期间和治疗后的6周内,观察到血浆铝的显著增加。这种增加与Al(OH)3的累积剂量和透析时间相关,但与最近的Al(OH)3剂量无关。服用1 α (OH)D3和停药后血浆铝含量的增加更可能是由于铝的再分布,而不是肠道铝吸收的增加。这一效应表明需用1 α (OH)D3治疗的尿毒症患者需要密切监测血浆铝。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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