Osteoporosis in axial radiographic spondyloarthritis: diagnostic limitations of bone mineral density and the need for comprehensive fracture risk assessment.

IF 1.7 Q3 RHEUMATOLOGY Reumatologia Pub Date : 2024-01-01 Epub Date: 2024-12-24 DOI:10.5114/reum/194107
Paweł Żuchowski, Marta Dura, Daniel Jeka, Rafał Wojciechowski, Maciej Bierwagen, Michał Kułakowski
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Abstract

Axial radiographic spondyloarthritis (r-axSpA) is a chronic inflammatory joint disease that leads to a considerable decline in the quality of life of patients by impairment of function and mobility, which, in turn, brings about a deterioration of both physical and mental health. Osteoporosis (OP) is a significant issue in the course of r-axSpA. Fractures resulting from OP complicate the treatment of the underlying disease and reduce the quality of life of patients. The aim of this paper is to discuss currently available diagnostic methods for OP and highlight why the gold standard for diagnosis - the assessment of bone mineral density via dual-energy X-ray absorptiometry - is not sufficient for patients with r-axSpA.

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脊柱关节炎的骨质疏松:骨密度的诊断局限性和综合骨折风险评估的需要。
轴向放射性脊柱炎(r-axSpA)是一种慢性炎症性关节疾病,通过功能和活动能力受损导致患者生活质量大幅下降,进而导致身心健康恶化。骨质疏松症(OP)是r-axSpA治疗过程中的一个重要问题。OP导致的骨折使基础疾病的治疗复杂化,降低了患者的生活质量。本文的目的是讨论目前可用的OP诊断方法,并强调为什么诊断的金标准-通过双能x线吸收仪评估骨矿物质密度-对于r-axSpA患者是不够的。
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来源期刊
Reumatologia
Reumatologia Medicine-Rheumatology
CiteScore
2.70
自引率
0.00%
发文量
44
审稿时长
10 weeks
期刊最新文献
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