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Osteoporosis in rheumatoid arthritis: Effect of disease activity

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Summary

In addition to juxtaarticular osteoporosis, which appears to reflect predominantly local disease mechanisms, more generalized bone loss can occur in rheumatoid arthritis(RA). The aim of this study was to compare bone mineral density (BMD) of the lumbar spine and proximal femur in RA patients versus controls and evaluate the influence of disease related determinants. Twenty-seven patients with RA and twenty healthy subjects were included in this study. BMD was significantly reduced in RA patients compared with the control group. BMD was correlated with duration of disease, health assessment questionnaire scores, hand grip strength and erythrocyte sedimentation rate. These results support the hypothesis that BMD may be affected by RA related determinants.

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References

  1. Laan, R.F.J.M., Buijs, W.C.A.M., Verbeek, MA.L.M., Draad, M.P., Corstens, F.H.F., Van de Putte, L.B.A., Van Riel, P.L.C.M. Bone mineral density in patients with recent onset rheumatoid arthritis: Influence of disease activity and functional capacity. Ann Rheum Dis 1993, 52, 21–26.

    PubMed  Google Scholar 

  2. Pietschmann, P., Machold, K.P., Wolosczuk, W., Smolen, J.S. Serum osteocalcin concentrations in patients with rheumatoid arthritis. Ann Rheum Dis 1989, 48, 654–657.

    PubMed  Google Scholar 

  3. Sambrook, P.N., Eisman, J.A., Champion, G.D., Yeates, M.G., Pocock, N.A., Eberl, S. Determinants of axial bone loss in rheumatoid arthritis. Arthritis Rheum 1987, 30, 721–728.

    PubMed  Google Scholar 

  4. Hall, G.M., Spector, T.D., Griffin, A.J., Jawad, A.S.M., Hall, M.L., Doyle, D.V. The effect of rheumatoid arthritis and steroid therapy on bone density in postmenopausal women. Arthritis Rheum 1993, 36, 1510–1516.

    PubMed  Google Scholar 

  5. Jones, S.M., Bhalla, A.K. Osteoporosis in rheumatoid arthritis. Clin Exp Rheumatol 1993, 11, 557–567.

    PubMed  Google Scholar 

  6. Laan, R.F.J.M., Van Riel, P.L.C.M., Van de Putte, L.B.A. Bone mass in patients with rheumatoid arthritis. Ann Rheum Dis 1992, 51, 826–832.

    PubMed  Google Scholar 

  7. Garton, M.J., Reid, D.M. Bone mineral density of the hip and of the anteroposterior and lateral dimensions of the spine in men with rheumatoid arthritis. Arthritis Rheum 1993, 36, 222–228.

    PubMed  Google Scholar 

  8. Laan, R.F.J.M., Van Riel, P.L.C.M., Van Erning, L.J.T.O., Lemmens, J.A.M., Ruijs, S.H.J., Van de Putte, L.B.A. Vertebral osteoporosis in rheumatoid arthritis patients: Effect of low dose prednisone therapy. Br J Rheumatol 1992, 31, 91–96.

    PubMed  Google Scholar 

  9. Kalla, A.A., Meyers, O.L., Chalton, D., Heath, S., Brown, M.M., Smith, P.R., Burger, M.C. Increased metacarpal bone mass following 18 months of slow-acting antirheumatic drugs for rheumatoid arthritis. Br J Rheumatol 1991, 30, 91–100.

    PubMed  Google Scholar 

  10. Michel, B.A., Bloch, D.A., Fries, J.F. Predictors of fracture in early rheumatoid arthritis. J Rheumatol 1991, 18, 804–808.

    PubMed  Google Scholar 

  11. Hooyman, J.R., Melton, L.J., Nelson, A.M., O'Fallon, W.M., Riggs, B.L. Fractures after rheumatoid arthritis. A population based study. Arthritis Rheum 1984, 27, 1353–1361.

    PubMed  Google Scholar 

  12. Adachi, J.D., Colton, P. Bone densitometry. J Rheumatol 1990, 17, 419–420.

    PubMed  Google Scholar 

  13. Arnett, F.C., Edwothy, S.M., Bloch, D.A., McShane, D.J., Fries, J.F., Cooper, N.S. The American Rheumatism Association 1987 criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1988, 31, 315–324.

    PubMed  Google Scholar 

  14. Steinbrocker, O., Traeger, C.H., Batterman, R.C. Therapeutic criteria in rheumatoid arthritis. JAMA 1949, 140, 659–662.

    Google Scholar 

  15. Fries, J.F., Spitz, P., Kraines, R.G., Holman, H.R. Measurement of patient outcome in arthritis. Arthritis Rheum 1980, 23, 137–145.

    PubMed  Google Scholar 

  16. Sambrook, P.N., Ansell, B.M., Foster, S., Gumpel, J.M., Hesp, R. Bone turnover in early rheumatoid arthritis. 2. Longitudinal bone density studies. Ann Rheum Dis 1985, 44, 580–584.

    PubMed  Google Scholar 

  17. Compston, J.E., Crawley, E.O., Evans, C., O'Sullivan, M.M. Spinal trabecular bone mineral content in patients with non-steroid treated rheumatoid arthritis. Ann Rheum Dis 1988, 47, 660–664.

    PubMed  Google Scholar 

  18. Verstraeten, A., Dequeker, J. Vertebral and peripheral bone mineral content and fracture incidence in postmenopausal patients with rheumatoid arthritis: effect of low dose corticosteroids. Ann Rheum Dis 1986, 45, 852–857.

    PubMed  Google Scholar 

  19. Als, O.S., Gotfredsen, A., Ris, B.J., Christiansen, C. Are disease duration and degree of functional impairment determinants of bone loss in rheumatoid arthritis? Ann Rheum Dis 1985, 44 406–411.

    PubMed  Google Scholar 

  20. Verstraeten, A., Dequeker, J. Mineral metabolism in postmenopausal women with active rheumatoid arthritis. J Rheumatol 1986, 13, 43–46.

    PubMed  Google Scholar 

  21. Eggelmeijer, F., Papapoulos, S.E., Westedt, M.L., Van Paassen H.C., Dijkmans, B.A.C., Breedveld, F.C. Bone metabolism in rheumatoid arthritis; relation to disease activity. Br J Rheumatol 1993, 32, 387–391.

    PubMed  Google Scholar 

  22. Gough, A.K.S., Peel, N.F.A., Eastell, R., Holder, R.L., Lilley, J., Emery, P. Excretion of pyridinium crosslinks correlates with disease activity and appendicular bone loss in early rheumatoid arthritis. Ann Rheum Dis 1994, 53, 14–17.

    PubMed  Google Scholar 

  23. Marhoffer, W., Schatz, H., Stracke, H., Ullmann, J., Schmidt, K., Federlin, K. Serum osteocalcin levels in rheumatoid arthritis: A marker for accelerated bone turnover in late onset rheumatoid arthritis. J Rheumatol 1991, 18, 1158–1162.

    PubMed  Google Scholar 

  24. Gevers, G., Devos, P., De Roo, M., Dequeker, J. Increased levels of osteocalcin (Serum bone Gla-protein) in rheumatoid arthritis. Br J Rheum 1986, 25, 260–262.

    Google Scholar 

  25. Kröger, H., Risteli, J., Risteli L., Penttila, I., Alhava, E. Serum osteocalcin and carboxyterminal propeptide of type I procollagen in rheumatoid arthritis. Ann Rheum Dis 1993, 52, 338–342.

    PubMed  Google Scholar 

  26. Rico, H., Revilla, M., Alvarez de Buergo, M., Villa, L.F. Serum osteocalcin and calcitropic hormones in a homogeneous group of patients with rheumatoid arthritis: its implication in the osteopenia of the disease. Clin Exp Rheumatol 1993, 11, 53–56.

    PubMed  Google Scholar 

  27. Sambrook, P. Birmingham, J., Champion, D., Kelly, P., Kempler, S., Freund, J., Eisman, J., Postmenopausal bone loss in rheumatoid arthritis: Effect of estrogens and androgens. J Rheumatol 1992, 19, 357–361.

    PubMed  Google Scholar 

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Çeliker, R., Gökçe-Kutsal, Y., Cindas, A. et al. Osteoporosis in rheumatoid arthritis: Effect of disease activity. Clin Rheumatol 14, 429–433 (1995). https://doi.org/10.1007/BF02207677

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  • DOI: https://doi.org/10.1007/BF02207677

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