患有状细胞病的年轻患者患有骨并发症的患病率,骨矿物质密度低
Julien Seiller1, Blandine Merle2, Romain Fort3
1Service de Rhumatologie et Pathologies osseuses, Centre Hospitalier Universitaire Edouard Herriot, Hospices Civils de Lyon, Lyon, France.
Bone
|October 2, 2023
概括
患有状细胞疾病 (SCD) 的年轻人经常在腰椎表现出低骨矿物质密度 (BMD). 然而,SCD患者的低脊椎BMD并不一定表明骨脆弱或骨折风险增加.
科学领域:
- 整形外科 整形外科 整形外科
- 血液学 血液学 血液学
- 内分泌学 在内分泌学.
背景情况:
- 骨脆弱是状细胞病 (SCD) 的已知并发症,即使在年轻患者中也是如此.
- 在SCD中骨脆弱性的临床影响和管理策略仍然不太清楚.
研究的目的:
- 为了确定患有SCD的年轻成年人骨脆弱性的患病率.
- 为了确定与骨脆弱相关的潜在风险因素,在这个人群中.
- 评估与SCD患者骨脆弱相关的并发症.
主要方法:
- 进行了一项单中心,横截面的研究.
- 进行了腰椎和部的骨矿物密度计 (BMD),以及脊椎骨折评估 (VFA).
- 从138名年龄在20-40岁的SCD患者收集了生物测量结果.
主要成果:
- 31.2%的患者患有低腰椎骨质量损伤 (Z-score < -2).
- 46.8%的患者有脊椎形,10.8%的患者有脆弱性骨折.
- 低的BMD与较低的BMI和较低的血红蛋白水平相关,但与骨髓缩史或先前骨折无关.
结论:
- 年轻的SCD患者经常出现下降的腰椎BMD.
- 在这个队列中,脆弱性骨折的患病率很低.
- 仅仅是腰椎下部的BMD可能不等于SCD的临床骨脆弱性.
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