Effects of Pamidronate Treatment on Osteogenesis Imperfecta / 대한내분비학회지
Journal of Korean Society of Endocrinology
; : 485-491, 2004.
Article
em Ko
| WPRIM
| ID: wpr-46785
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
Osteogenesis imperfecta (OI) is a congenital disorder of type I collagen, with variable phenotypes, due to increased bone fragility and low bone mass. Previous pharmacological treatments for OI have been attempted with calcitonin and growth hormone but with little beneficial effects. Recently, Glorieux reported the beneficial effects of bisphosphonates in OI.METHODS:
In this study, the effects of pamidronate treatment were evaluated in 9 patients with OI. All patients received intravenous pamidronate infusions, which was dose adjusted according to the patients' age. The outcome measures included the biochemical bone markers; serum alkaline phosphatase, urine deoxy-pyridinoline, urine Ca/Cr ratio, and bone mineral density (BMD).RESULTS:
Serum alkaline phosphatase, urine deoxypyridinoline, and urine Ca/Cr ratio were slightly decreased after 1 year of therapy, although these changes were not statistically significant. The BMDs of the lumbar spine and proximal femur were significantly increased after 1-year of pamidronate treatment. No fractures were reported during the 1 year treatment periods.CONCLUSION:
Pamidronate treatment had an effect on the BMD in osteogenesis imperfecta, probably due to decreasing bone resorptionPalavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Osteogênese
/
Osteogênese Imperfeita
/
Fenótipo
/
Coluna Vertebral
/
Reabsorção Óssea
/
Calcitonina
/
Hormônio do Crescimento
/
Densidade Óssea
/
Avaliação de Resultados em Cuidados de Saúde
/
Colágeno Tipo I
Limite:
Humans
Idioma:
Ko
Revista:
Journal of Korean Society of Endocrinology
Ano de publicação:
2004
Tipo de documento:
Article