Osteoporosis in rheumatoid arthritis. 2013

R V Murariu, and Luana Andreea Macovei, and Isabella Cristina Brujbu
Department of School Health, Faculty of Medicine, University of Medicine and Pharmacy, "Grigore T. Popa" - Iaşi.

Osteoporosis (OP) is a disease of great medical and social importance and it is reported frequently and precociously in rheumatoid arthritis (RA) patients. METHODS A retrospective study was conducted on a random sample of 180 patients admitted in the period 2011-2012 to the Rheumatology Clinic of the lasi Rehabilitation Hospital. The patients were diagnosed with RA and osteoporosis and some clinical and biological parameters were analyzed. Patients were divided into two groups for a comparative study: group I--seropositive = 115 cases (63.89%); group II-- seronegative = 65 cases (36.11%). CONCLUSIONS The 180 patients diagnosed with RA and osteoporoses were randomized into other two groups. The serum rheumatoid factor (RF) in RA and osteoporosis patients was determined by Latex and Waaler Rose reaction. The radiological examination showed that 23.47% of patients in group I and 9.23% of patients in group II have experienced at least one fracture. DXA (Dual X-Ray Absorptiometry) testing showed a value of <-3.5 in group I (13,04%) and in group II ( 9.23%), these results indicating a high risk of fracture, particularly in group I (seropositive). CONCLUSIONS The results confirm that RA patients are at increased risk ofosteoporosis, and the additional risk of disability and serious socioeconomic implications negatively affect the prevention and development of the disease.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010024 Osteoporosis Reduction of bone mass without alteration in the composition of bone, leading to fractures. Primary osteoporosis can be of two major types: postmenopausal osteoporosis (OSTEOPOROSIS, POSTMENOPAUSAL) and age-related or senile osteoporosis. Age-Related Osteoporosis,Bone Loss, Age-Related,Osteoporosis, Age-Related,Osteoporosis, Post-Traumatic,Osteoporosis, Senile,Senile Osteoporosis,Osteoporosis, Involutional,Age Related Osteoporosis,Age-Related Bone Loss,Age-Related Bone Losses,Age-Related Osteoporoses,Bone Loss, Age Related,Bone Losses, Age-Related,Osteoporoses,Osteoporoses, Age-Related,Osteoporoses, Senile,Osteoporosis, Age Related,Osteoporosis, Post Traumatic,Post-Traumatic Osteoporoses,Post-Traumatic Osteoporosis,Senile Osteoporoses
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001172 Arthritis, Rheumatoid A chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. Etiology is unknown, but autoimmune mechanisms have been implicated. Rheumatoid Arthritis
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D012217 Rheumatoid Factor Autoantibodies found in adult RHEUMATOID ARTHRITIS patients that are directed against GAMMA-CHAIN IMMUNOGLOBULINS. Factor, Rheumatoid

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