Inflammatory diseases and bone fragility

被引：146

作者：

Briot, K. ^{[1
,2
,3
]}

Geusens, P. ^{[4
,5
]}

Bultink, I. Em ^{[6
]}

Lems, W. F. ^{[6
]}

Roux, C. ^{[1
,2
,3
,7
]}

机构：

[1] Cochin Hosp, AP HP, Dept Rheumatol, Paris, France

[2] Hop Cochin, Serv Rhumatol, 27 Rue Faubourg, F-75014 Paris, France

[3] INSERM, UMR 1153, Paris, France

[4] Maastricht Univ, Med Ctr, Subdiv Rheumatol, Dept Internal Med, Maastricht, Netherlands

[5] Hasselt Univ, Hasselt, Belgium

[6] Vrije Univ Amsterdam, Med Ctr, Amsterdam Rheumatol & Immunol Ctr, Dept Rheumatol, Amsterdam, Netherlands

[7] Paris Descartes Univ, Paris, France

来源：

OSTEOPOROSIS INTERNATIONAL | 2017年 / 28卷 / 12期

关键词：

Bone densitometry; Fracture; Inflammation; Osteoporosis; SYSTEMIC-LUPUS-ERYTHEMATOSUS; OBSTRUCTIVE PULMONARY-DISEASE; MINERAL DENSITY; RHEUMATOID-ARTHRITIS; BOWEL-DISEASE; ANKYLOSING-SPONDYLITIS; VERTEBRAL FRACTURES; RISK-FACTORS; TNF-ALPHA; CORTICOSTEROID USE;

D O I：

10.1007/s00198-017-4189-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Systemic osteoporosis and increased fracture rates have been described in chronic inflammatory diseases such as rheumatoid arthritis, spondyloarthritis, systemic lupus erythematosus, inflammatory bowel diseases, and chronic obstructive pulmonary disease. Most of these patients receive glucocorticoids, which have their own deleterious effects on bone. However, the other main determinant of bone fragility is the inflammation itself, as shown by the interactions between the inflammatory mediators, the actors of the immune system, and the bone remodelling. The inflammatory disease activity is thus on top of the other well-known osteoporotic risk factors in these patients. Optimal control of inflammation is part of the prevention of osteoporosis, and potent anti-inflammatory drugs have positive effects on surrogate markers of bone fragility. More data are needed to assess the anti-fracture efficacy of a tight control of inflammation in patients with a chronic inflammatory disorder. This review aimed at presenting different clinical aspects of inflammatory diseases which illustrate the relationships between inflammation and bone fragility.

引用

页码：3301 / 3314

页数：14

共 105 条

[1] Vitamin D Deficiency and Corticosteroid Use Are Risk Factors for Low Bone Mineral Density in Inflammatory Bowel Disease Patients [J].