Repozitorij Medicinskog fakulteta Sveučilišta u Zagrebu

Osteoporosis in psoriatic arthritis: Is there any?

Grazio, Simeon and Cvijetić, Selma and Vlak, Tonko and Grubišić, Frane and Matijević, Valentina and Nemčić, Tomislav and Punda, Marija and Kusić, Zvonko (2011) Osteoporosis in psoriatic arthritis: Is there any? Wiener Klinische Wochenschrift, 123 (23-24). pp. 743-750. ISSN 0043-5325

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    English abstract

    AIMS: Although considered as a feature of inflammatory rheumatic diseases, there is a lot of controversy around low bone mass in patients with psoriatic arthritis. The aim of this cross-sectional study was to analyze bone mineral density in patients with psoriatic arthritis, as well as to investigate its possible association with some measures of disease activity and functional capacity. ----- SUBJECTS AND METHODS: Sixty-nine patients with established psoriatic arthritis (mean age 56.20 ± 12.23 years) and who have not been treated with specific antiosteoporotic drugs were recruited from the out-patient clinic database. Bone mineral density was measured by dual-energy X-ray absorptiometry at the lumbar spine and at the left hip. Disease activity measures included: duration of morning stiffness, tender and swollen joint count, patient's and physician's global assessment, presence of dactylitis and enthesitis, ESR, CRP and Disease Activity Score 28. Health Assessment Questionnaire was used to assess functional status. ----- RESULTS: According to WHO definition, spinal osteoporosis was found in 7.2% of patients, total hip osteoporosis in 1.4% of patients and femoral neck osteoporosis in 2.9% of patients. There was no significant association of any of the measures of disease activity with BMD at any site. Higher HAQ scores were associated with lower total hip BMD. ----- CONCLUSIONS: In our sample of patients with psoriatic arthritis we did not find increased prevalence of osteoporosis. There was no association of BMD with indices of disease activity, while negative correlation was found between HAQ and total hip BMD.

    Item Type: Article
    Divisions: Katedra za radiologiju i opću kliničku onkologiju
    Depositing User: Marijan Šember
    Status: Published
    Creators:
    CreatorsEmail
    Grazio, Simeon
    Cvijetić, Selma
    Vlak, Tonko
    Grubišić, Frane
    Matijević, Valentina
    Nemčić, Tomislav
    Punda, Marija
    Kusić, Zvonko
    Date: December 2011
    Date Deposited: 17 Jan 2012 16:27
    Last Modified: 17 Jan 2012 16:27
    Subjects: /
    Related URLs:
    URI: http://medlib.mef.hr/id/eprint/1435

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