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  • Title: Aluminum associated bone disease: clinico-pathologic correlation.
    Author: Ihle B, Buchanan M, Stevens B, Marshal A, Plomley R, d'Apice A, Kincaid-Smith P.
    Journal: Am J Kidney Dis; 1982 Sep; 2(2):255-63. PubMed ID: 7124722.
    Abstract:
    A chemical, aurine tricarboxylic acid was used to identify aluminum in bone in a group of chronic renal failure patients with severe osteomalacia. Thirteen out of 49 (26%) patients had a positive stain at the bone-osteoid junction. The presence of aluminum at the staining site was confirmed by electron dispersion x-ray analysis. The patients' biopsies staining negative with this clinical, although having high bone aluminum levels, had more significant features of hyperparathyroidism, both biochemically and histologically than those having a positive stain. The usefulness of this technique to diagnose presymptomatic aluminum related osteomalacia is emphasized.
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