Hemodialysis XXXX with @entity174 and muscle weakness.

@entity1 @entity3775 @entity4772 @entity174 @entity2045 @entity75 @entity4421 @entity8408
The hemodialysis unit at Columbia, South Carolina, opened in April, 1974. By June of 1977, 7 @entity1 had died from dialysis @entity75 , and 16 of the 51 surviving @entity1 showed @entity8408 , fits, and @entity2045 . @entity174 were seen in 22 @entity1 . Bone histomorphometry showed severe @entity4772 with minimal, if any, @entity4421 fibrosa, and serum alkaline phosphatase activity was normal. The mean serum @entity3775 concentration in 33 random @entity1 was elevated at 83.5 microgram/liter (control group, 13.9 microgram/liter, P less than 0.001). The mean bone @entity3775 concentration in 4 @entity1 who died from this syndrome was 307 ppm of bone ash (normal, less than 10 ppm). Dialysis fluid @entity3775 was high at 140 microgram/liter. Purification of the dialysis fluid with a water softener, reverse osmosis and a deionizer and abandoning extra-strength Basaljel resulted in a notable clinical and EEG improvement. None of 81 new @entity1 who started hemodialysis between July of 1977 and July of 1979 after the change in treatment have developed any such symptoms. A syndrome of hemodialysis @entity75 accompanied by pathologic @entity174 is described. Recovery is possible. The syndrome was eradicated after purification of the dialysis fluid.
