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  • Title: Arthritis associated with calcium oxalate crystals in an anephric patient treated with peritoneal dialysis.
    Author: Rosenthal A, Ryan LM, McCarty DJ.
    Journal: JAMA; 1988 Sep 02; 260(9):1280-2. PubMed ID: 3404640.
    Abstract:
    We report a case of calcium oxalate arthropathy in a woman undergoing intermittent peritoneal dialysis who was not receiving pharmacologic doses of ascorbic acid. She developed acute arthritis, with calcium oxalate crystals in Heberden's and Bouchard's nodes, a phenomenon previously described in gout. Intermittent peritoneal dialysis may be less efficient than hemodialysis in clearing oxalate, and physicians should now consider calcium oxalate-associated arthritis in patients undergoing peritoneal dialysis who are not receiving large doses of ascorbic acid.
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