影响儿童和青少年患有全身性红血狼骨矿物质密度的因素
Su Jin Park1, Soo Yeun Sim1, Dae Chul Jeong1
1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Annals of pediatric endocrinology & metabolism
|January 31, 2024
概括
青年发作的全身性红斑狼 (JSLE) 患者面临低骨矿物质密度 (BMD) 的风险. 长期使用葡萄糖皮质体 (GC) 是主要因素,需要监测和GC节约策略.
科学领域:
- 儿科 儿科 儿科
- 类风湿病学 类风湿病学
- 内分泌学 在内分泌学.
背景情况:
- 青春期开始的全身性红斑狼 (JSLE) 对长期的骨健康问题构成重大风险,包括骨质减少和骨质疏松症.
- 早期识别和治疗骨健康并发症对于JSLE患者过渡到成年至关重要.
研究的目的:
- 为了研究JSLE患者的临床特征.
- 在这个人群中确定与低骨矿物质密度 (BMD) 相关的因素.
主要方法:
- 分析了29名患有JSLE的韩国儿童和青少年队列.
- 收集了人口统计,临床状况和药物使用 (糖皮质类药物 [GCs],氧化 [HCQ]) 的数据.
- 用双能X射线吸收计评估腰椎骨质量损伤的z-score.使用双能X射线吸收计进行评估.
主要成果:
- 七名患者 (24%) 呈现低 BMD (z 分数 ≤ -2.0).
- 更高的累积GC剂量,更长的GC暴露时间和更高的累积HCQ剂量与低的BMD有显著的关联.
- GC暴露的持续时间成为低BMD的最关键的风险因素.
结论:
- 长时间的GC暴露,累积GC剂量和累积HCQ剂量是JSLE低BMD的显著风险因素.
- 建议对JSLE患者进行常规的BMD监测和考虑GC节约治疗,以减轻骨折风险.
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