最近出现的类风湿性关节炎患者的骨矿物质密度状况
Arsh Haj Mohamad Ebrahim Ketabforoush1,2, Mehdi Aleahmad3, Mostafa Qorbani4
1Karaj, Iran Student Research Committee, Alborz University of Medical Sciences.
Journal of diabetes and metabolic disorders
|May 30, 2023
概括
最近出现的风湿性关节炎 (RA) 患者面临骨质疏松症和骨质疏松症的重大风险. 年龄,女性性别,较高的DAS-28和阳性CRP与骨矿物质密度 (BMD) 的降低有关.
科学领域:
- 类风湿病学 类风湿病学
- 内分泌学 在内分泌学.
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 骨质疏松症是风湿性关节炎 (RA) 患者常见的并发症.
- 了解早期RA骨矿物质密度 (BMD) 降低的患病率和相关因素至关重要.
研究的目的:
- 为了确定新发 RA 患者骨质疏松症和骨质疏松症的患病率.
- 为了确定与 BMD 减少相关的人口和疾病相关的因素.
主要方法:
- 一项对300名新发性RA患者进行的横截面研究,这些患者之前没有使用过葡萄糖皮质体或DMARD.
- 通过双能X射线吸收计评估的骨矿物质密度 (BMD);通过MDHAQ,DAS-28和FRAX标准收集的患者数据.
- 多变量逻辑回归用于分析与骨质疏松症和骨质疏松症相关的因素.
主要成果:
- 骨质疏松症的患病率为27%,骨质疏松症的患病率为45%.
- 年龄和女性性别与骨质疏松症和骨质疏松症有关.
- 较高的DAS-28和阳性C反应蛋白 (CRP) 水平与全关节骨质疏松症有关.
结论:
- 新发 RA 患者有骨质疏松症的风险,无论药物使用情况如何.
- 建议早期评估BMD,以便在RA患者及时进行干预.
- 人口和疾病活动标志物是RA中骨质量减少的关键预测因素.
相关概念视频
Bone Disorders
3.7K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.7K
Connective Tissue Cell Types
3.3K
Connective tissue develops from the mesoderm of a developing embryo and consists of cells, fibers, and ground substance: a gel-like material containing large complexes of carbohydrates and proteins. Connective tissue was first identified as a separate tissue family in the 18th century, and Johannes Peter Muller coined the term connective tissue.
Fat cells (adipocytes), smooth muscle cells (myoblasts), and bone cells (osteoblasts) are some connective tissue cell types. Some immune system cells...
Fat cells (adipocytes), smooth muscle cells (myoblasts), and bone cells (osteoblasts) are some connective tissue cell types. Some immune system cells...
3.3K
Osteoclasts in Bone Remodeling
3.0K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
3.0K


