麻风病患者骨变化的生化指标评价

Yaswanth Kumar K, A. G., M. K, V. Eggadi, Sharavanabhava B.S
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摘要

麻风病对手脚的影响显著。骨畸形是麻风病最常见的并发症,可导致畸形和残疾。骨吸收导致ALP、u、CA/CR水平比值升高。血红蛋白水平降低在这些患者中最为明显。将麻风病患者与健康人进行比较。u CA/CR水平用于研究骨吸收,这可能与新骨形成有关,它可以通过估计ALP水平来评估。通过估算汉森氏病患者的血红蛋白,也可以研究其血液变化。与对照组相比,这些病例的平均值U.CA/CR, ALP也有所增加,这表明骨吸收与代偿性新骨形成相结合。麻风病患者的Hb%也有所下降。目前的研究表明,麻风病患者骨吸收增加,这是由于代偿性新骨形成与骨吸收相结合。总之,我们的数据表明,旨在减少骨质流失的治疗可能有利于这些高骨转换的患者,并减少麻风病引起的畸形和疾病负担。
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EVALUATION OF BIOCHEMICAL MARKERS FOR BONE CHANGES IN LEPROSY PATIENTS
Leprosy has prominent effect on hands and feet. Bone deformities are the most occurred complication in leprosy and can result to deformity and disability. Bone resorption leads to the increased levels of ALP, U. CA/CR level ratio. Decreased hemoglobin level is most observed in these patients. The leprosy patients were compared with healthy. U. CA/CR levels is used for studying bone resorption which may be associated with new bone formation it can be evaluated by estimating ALP levels. Blood changes is also studied by estimating Haemoglobin in Hansen’s patients. The mean value U.CA/CR ratio, ALP is also increased in cases when compared to controls which indicate bone resorption coupled with compensatory new bone formation. The Hb% was also decreased in leprosy patients. The present study suggests an increased bone resorption in leprosy patients and is attributed to compensatory new bone formation coupled with bone resorption. In conclusion our data suggests that therapy aimed at reducing bone loss may benefit these patients with high bone turnover and decrease the deformities and disease burden due to leprosy.
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