[Osteomalacia and vitamin D deficiency in hemodialyzed patients].

Aluminum accumulation in plasma and tissues is a well-described complication among patients undergoing hemodialysis. Although the ratio of aluminum-induced osteomalacia has been decreasing year by year, there are still considerably many problems in such patients. Sources of aluminum now include food, drugs, and cooking tools. Besides, iron and strontium accumulations also induce osteomalacia. Early and accurate diagnosis of such metal toxicities is important because effective therapy is available.