Glucocorticosteroid-induced osteoporosis: pathogenesis, prevention, treatment

Glyukokortikoidindutsirovannyy osteoporoz (GIO) - odno iz naibolee tyazhelykh oslozhneniy dlitel'noy (bolee 3 mes) sistemnoy terapii glyukokortikoidami (SGK). On razvivaetsya u bol'nykh lyubogo vozrasta i pola i yavlyaetsya naibolee chastoy sistemnoy formoy vtorichnogo osteoporoza (OP). By...

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Bibliographic Details
Main Author: I A Baranova
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2008-03-01
Series:Современная ревматология
Online Access:https://mrj.ima-press.net/mrj/article/view/140
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Summary:Glyukokortikoidindutsirovannyy osteoporoz (GIO) - odno iz naibolee tyazhelykh oslozhneniy dlitel'noy (bolee 3 mes) sistemnoy terapii glyukokortikoidami (SGK). On razvivaetsya u bol'nykh lyubogo vozrasta i pola i yavlyaetsya naibolee chastoy sistemnoy formoy vtorichnogo osteoporoza (OP). Bystraya poterya kostnoy massy proiskhodit uzhe v pervye mesyatsy lecheniya SGK. Perelomy ot minimal'noy travmy voznikayut pri bolee vysokikh pokazatelyakh mineral'noy plotnosti kosti, chem u bol'nykh pervichnym OP. Dazhe ispol'zovanie malykh doz SGK privodit k povysheniyu riska perelomov, s uvelicheniem sutochnoy dozy risk perelomov vozrastaet. U patsientov, primenyayushchikh vysokie dozy ingalyatsionnykh GK (IGK), uvelichenie riska OP i perelomov v bol'shey stepeni obuslovleno tyazhest'yu respiratornogo zabolevaniya, chem terapiey IGK. Predstavleny sovremennye printsipy profilaktiki i lecheniya GIO.
ISSN:1996-7012
2310-158X