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巨与低性相比:骨脆弱性和评估
Madalina Cristina Sorohan1, Ionela Florina Baciu2, Simona Andreea Galoiu2
1Carol Davila University of Medicine and Pharmacy, Aviatorilor Boulevard, Nr. 34-38, Bucharest, Romania.
Annales d'endocrinologie
|September 9, 2023
概括
脊椎骨折在壮症中很常见,尽管骨矿物质密度正常. 这些骨折与较低的骨密度相关,但与状骨的骨分数无关,这表明在壮症患者中存在独特的骨质病变.
科学领域:
- 内分泌学和骨代谢 骨质代谢
背景情况:
- 骨质疏松症中的骨质疏松症呈现出高频率的脊椎骨折 (VF).
- 标准的骨质疏松症诊断标准往往是不满足,因为正常的骨矿物质密度 (BMD) 在壮症患者.
研究的目的:
- 为了调查脊椎骨折的患病率,并评估骨健康标志物在壮病患者的骨健康标志物.
- 为了确定淋巴状况和疾病活动对骨健康和骨折风险的影响.
主要方法:
- 横截面研究涉及71名壮病患者和75名阴性腺瘤患者.
- 评估了骨周转标记物,双能X射线吸收计 (DXA) 用于BMD,T和Z得分,以及椎骨得分 (TBS).
- 包括脊柱X射线来评估脊椎骨折.
主要成果:
- 脊椎骨折的发生频率明显高于壮症 (29.6%) 的发生频率高于阴性双胞胎症 (9.3%).
- 与壮症患者相比,壮症患者的骨质量较高,但TBS较低.
- 较低的BMD与VF有关,在壮病患者,独立于淋巴状况或疾病活性.
结论:
- 脊椎骨折是壮症的常见并发症,与减少的骨质量有关.
- 与壮症患者相比,壮症患者表现出明显的骨特征 (较高的骨质量,较低的TBS) 与壮症患者相比.
- 疾病活动和阴性腺不显著影响BMD,TBS或VF在壮症的患病率.
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