Osteoporosis and osteopenia in patients with psoriatic arthritis: A single-centre retrospective study.

IF 1.8 4区医学 Q3 RHEUMATOLOGY

Modern Rheumatology Pub Date : 2024-10-15 DOI:10.1093/mr/roae028

Kenji Takami, Mari Higashiyama, Shigeyoshi Tsuji

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引用次数: 0

Abstract

Objective: It is known that fracture risk is increased in patients with psoriatic arthritis (PsA); however, there is no consensus on the association with osteoporosis. The purpose of this study was to elicit the rate of osteoporosis and the risk factors of osteoporosis in patients with PsA at our institution.

Methods: The data in this study were extracted from 163 patients with PsA. Osteoporosis and osteopenia were defined based on the WHO definition. Osteoporosis was also diagnosed when a fragility vertebral compression fracture was observed.

Results: The osteoporosis and osteopenia rates for PsA patients were 11.7% and 33.1%, respectively. The rates of osteoporosis and osteopenia in males were particularly high compared to previous reports, at 9.3% and 34.3%, respectively. Trabecular bone score was considered age-appropriate for both males and females. Body mass index and Trabecular bone score were significantly lower in patients with osteoporosis.

Conclusions: In patients with PsA, males are at elevated risk of osteoporosis and associated fragility fractures even if they are under 50 years. Body mass index was significantly lower in osteoporotic cases, suggesting the importance of bone mineral density testing and treatment in such cases.

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银屑病关节炎患者的骨质疏松症和骨质疏松症：一项单中心回顾性研究。

目的：众所周知，银屑病关节炎（PsA）患者的骨折风险会增加，但对于其与骨质疏松症的关系尚未达成共识。本研究旨在了解本院 PsA 患者的骨质疏松症发生率和骨质疏松症的风险因素：本研究的数据来自 163 名 PsA 患者。骨质疏松症和骨质疏松症的定义基于世界卫生组织的定义。当观察到椎体脆性压缩骨折时，也诊断为骨质疏松症：PsA患者的骨质疏松症和骨质增生率分别为11.7%和33.1%。与之前的报告相比，男性的骨质疏松症和骨质增生率尤其高，分别为 9.3% 和 34.3%。男性和女性的骨小梁评分（TBS）都被认为与年龄相符。骨质疏松症患者的体重指数（BMI）和TBS明显较低：结论：在 PsA 患者中，即使年龄在 50 岁以下，男性患骨质疏松症和相关脆性骨折的风险也较高。骨质疏松症患者的体重指数（BMI）明显较低，这表明骨矿密度检测和治疗在此类患者中的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Modern Rheumatology RHEUMATOLOGY-

CiteScore

4.90

自引率

9.10%

发文量

146

审稿时长

1.5 months

期刊介绍： Modern Rheumatology publishes original papers in English on research pertinent to rheumatology and associated areas such as pathology, physiology, clinical immunology, microbiology, biochemistry, experimental animal models, pharmacology, and orthopedic surgery. Occasional reviews of topics which may be of wide interest to the readership will be accepted. In addition, concise papers of special scientific importance that represent definitive and original studies will be considered. Modern Rheumatology is currently indexed in Science Citation Index Expanded (SciSearch), Journal Citation Reports/Science Edition, PubMed/Medline, SCOPUS, EMBASE, Chemical Abstracts Service (CAS), Google Scholar, EBSCO, CSA, Academic OneFile, Current Abstracts, Elsevier Biobase, Gale, Health Reference Center Academic, OCLC, SCImago, Summon by Serial Solutions