Inflammatory bowel diseases, celiac disease, and bone

被引:44
作者
Bianchi, Maria Luisa [1 ]
机构
[1] IRCCS, Bone Metab Unit, Ist Auxol Italian, I-20145 Milan, Italy
关键词
Inflammatory bowel diseases; Crohn's disease; Ulcerative colitis; Celiac disease; Calcium; Vitamin D; Osteoporosis; Bone density; Fractures; GLUTEN-FREE DIET; VITAMIN-D METABOLITES; INTESTINAL CALCIUM-ABSORPTION; X-RAY ABSORPTIOMETRY; MINERAL DENSITY; CROHNS-DISEASE; BODY-COMPOSITION; RISK-FACTORS; PARATHYROID-HORMONE; PEDIATRIC-PATIENTS;
D O I
10.1016/j.abb.2010.06.026
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
The article summarizes the current knowledge on the pathogenesis, clinical aspects and treatment of bone problems in the major inflammatory bowel diseases (Crohn's disease and ulcerative colitis) and celiac disease. It presents the physiological relationship between intestine and bone as well as the alterations determined by disease-disrupted intestinal integrity. Two hypotheses about the pathogenetic mechanisms of bone metabolism derangements and bone loss are discussed: the classical one, that indicates calcium malabsorption as the main culprit, and the new one, that emphasizes the role of inflammation. The article summarizes the available epidemiological data about osteopenia/osteoporosis and fragility fractures in these chronic intestinal diseases and presents the state-of-the-art treatment options. (C) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:54 / 65
页数:12
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