患有炎症性肠病的儿童的早期症状:对随后的骨矿物质缺乏症的影响
Mariusz Olczyk1, Agnieszka Frankowska1, Marcin Tkaczyk1
1Department of Pediatrics, Immunology and Nephrology, Polish Mother's Memorial Hospital Research Institute, Medical University of Lodz, 90-419 Lodz, Poland.
Children (Basel, Switzerland)
|October 26, 2024
概括
患有炎症性肠病 (IBD) 的儿童经常患有骨质疏松症和骨质疏松症等骨疾病. 早期发现和监测儿童的IBD对于预防严重的骨并发症至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿科内分泌学 儿科内分泌学
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 炎症性肠病 (IBD) 包括克罗恩病 (CD) 和性结肠炎 (UC),这些疾病已知会影响骨代谢.
- 了解儿童中CD和UC之间的早期临床和诊断差异对于预测骨健康结果至关重要.
研究的目的:
- 为了比较儿科CD和UC患者诊断时的临床和诊断参数.
- 调查最初疾病特征与随后骨疾病的发展之间的关联.
主要方法:
- 80名新诊断IBD的儿童接受了血液测试 (酸代谢) 和便calprotectin测试.
- 其中25名儿童进行了骨密度计.
主要成果:
- 腹和血在UC中更常见,而发烧在CD中更常见.
- 贫血和血栓细胞瘤是普遍存在的. 近一半的孩子患有骨质疏松症,20%患有骨质疏松症.
- 诊断时低水平和维生素D不足与骨疾病相关.
结论:
- 在儿童中早期发现IBD至关重要.
- 在儿科IBD患者中定期监测骨健康,可以减轻骨质疏松症等风险.
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