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Diabetes and Bone Involvement in Primary Hyperparathyroidism: Literature Review and Our Personal Experience

BACKGROUND: Primary hyperparathyroidism (PHPT) and type 2 diabetes mellitus (T2DM) are common endocrine disorders impacting on skeletal health, whose concomitant occurrence is becoming more frequent. PATIENTS AND METHODS: We searched the PubMed database from the National Library of Medicine about th...

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Autores principales: Castellano, Elena, Attanasio, Roberto, Boriano, Alberto, Borretta, Valentina, Tassone, Francesco, Borretta, Giorgio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8092358/
https://www.ncbi.nlm.nih.gov/pubmed/33953702
http://dx.doi.org/10.3389/fendo.2021.665984
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author Castellano, Elena
Attanasio, Roberto
Boriano, Alberto
Borretta, Valentina
Tassone, Francesco
Borretta, Giorgio
author_facet Castellano, Elena
Attanasio, Roberto
Boriano, Alberto
Borretta, Valentina
Tassone, Francesco
Borretta, Giorgio
author_sort Castellano, Elena
collection PubMed
description BACKGROUND: Primary hyperparathyroidism (PHPT) and type 2 diabetes mellitus (T2DM) are common endocrine disorders impacting on skeletal health, whose concomitant occurrence is becoming more frequent. PATIENTS AND METHODS: We searched the PubMed database from the National Library of Medicine about the relationship between T2DM and its treatment and bone manifestations of PHPT. Thereafter, we retrospectively evaluated a consecutive series of 472 PHPT patients. Among them 55 were also affected by T2DM. At the diagnosis of PHPT we compared bone turnover markers and bone densitometry between 55 patients with and 417 without T2DM and in the former group according to antidiabetic treatment. RESULTS: Few data are available about T2DM and PHPT bone involvement, studies about T2DM treatments and PHPT bone manifestations are lacking. Among patients with PHPT of our series, those with T2DM were older, had a lower prevalence of osteitis fibrosa cystica, higher lumbar and femoral T-scores than the remaining patients. No difference was disclosed among the diabetic patients according to ongoing antidiabetic treatment, even though modern treatments were under-represented. CONCLUSIONS: No clinical study specifically evaluated the impact of T2DM on bone involvement in PHPT. In our experience, diabetic patients resulted more frequently “mild asymptomatic” than non-diabetic patients and showed a lower prevalence of radiological PHPT bone manifestations. The treatment of T2DM does not seem to affect the biochemical or clinical features of PHPT in our series. Further studies are needed to fully disclose the influence of T2DM and antidiabetic treatment on bone health in patients with PHPT.
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spelling pubmed-80923582021-05-04 Diabetes and Bone Involvement in Primary Hyperparathyroidism: Literature Review and Our Personal Experience Castellano, Elena Attanasio, Roberto Boriano, Alberto Borretta, Valentina Tassone, Francesco Borretta, Giorgio Front Endocrinol (Lausanne) Endocrinology BACKGROUND: Primary hyperparathyroidism (PHPT) and type 2 diabetes mellitus (T2DM) are common endocrine disorders impacting on skeletal health, whose concomitant occurrence is becoming more frequent. PATIENTS AND METHODS: We searched the PubMed database from the National Library of Medicine about the relationship between T2DM and its treatment and bone manifestations of PHPT. Thereafter, we retrospectively evaluated a consecutive series of 472 PHPT patients. Among them 55 were also affected by T2DM. At the diagnosis of PHPT we compared bone turnover markers and bone densitometry between 55 patients with and 417 without T2DM and in the former group according to antidiabetic treatment. RESULTS: Few data are available about T2DM and PHPT bone involvement, studies about T2DM treatments and PHPT bone manifestations are lacking. Among patients with PHPT of our series, those with T2DM were older, had a lower prevalence of osteitis fibrosa cystica, higher lumbar and femoral T-scores than the remaining patients. No difference was disclosed among the diabetic patients according to ongoing antidiabetic treatment, even though modern treatments were under-represented. CONCLUSIONS: No clinical study specifically evaluated the impact of T2DM on bone involvement in PHPT. In our experience, diabetic patients resulted more frequently “mild asymptomatic” than non-diabetic patients and showed a lower prevalence of radiological PHPT bone manifestations. The treatment of T2DM does not seem to affect the biochemical or clinical features of PHPT in our series. Further studies are needed to fully disclose the influence of T2DM and antidiabetic treatment on bone health in patients with PHPT. Frontiers Media S.A. 2021-04-19 /pmc/articles/PMC8092358/ /pubmed/33953702 http://dx.doi.org/10.3389/fendo.2021.665984 Text en Copyright © 2021 Castellano, Attanasio, Boriano, Borretta, Tassone and Borretta https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Castellano, Elena
Attanasio, Roberto
Boriano, Alberto
Borretta, Valentina
Tassone, Francesco
Borretta, Giorgio
Diabetes and Bone Involvement in Primary Hyperparathyroidism: Literature Review and Our Personal Experience
title Diabetes and Bone Involvement in Primary Hyperparathyroidism: Literature Review and Our Personal Experience
title_full Diabetes and Bone Involvement in Primary Hyperparathyroidism: Literature Review and Our Personal Experience
title_fullStr Diabetes and Bone Involvement in Primary Hyperparathyroidism: Literature Review and Our Personal Experience
title_full_unstemmed Diabetes and Bone Involvement in Primary Hyperparathyroidism: Literature Review and Our Personal Experience
title_short Diabetes and Bone Involvement in Primary Hyperparathyroidism: Literature Review and Our Personal Experience
title_sort diabetes and bone involvement in primary hyperparathyroidism: literature review and our personal experience
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8092358/
https://www.ncbi.nlm.nih.gov/pubmed/33953702
http://dx.doi.org/10.3389/fendo.2021.665984
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