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Bone densitometry in children with idiopathic nephrotic syndrome on prolonged steroid therapy: A tertiary multicenter study
Long-term glucocorticoids administration inhibits bone mineralization and has a negative impact on basic cellular mechanisms that are critical in the development and maintenance of bone strength. Steroids can cause osteoporosis in children and have a negative impact on bone mineral content (BMC) and...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9387947/ https://www.ncbi.nlm.nih.gov/pubmed/35984137 http://dx.doi.org/10.1097/MD.0000000000029860 |
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author | Soliman, Ahmed S.A. Abukhatwah, Mohamed W. Kamal, Naglaa M. Sweed, Enas M.M. Alelyani, Abdullah M. Althobaiti, Sami D. Alzaedi, Mazen A El-Rebigi, Amany M. Besher, Nehad T. Abukhatwah, Omar M.W. Alharbi, Abdullah O. Afifi, Wesam E. |
author_facet | Soliman, Ahmed S.A. Abukhatwah, Mohamed W. Kamal, Naglaa M. Sweed, Enas M.M. Alelyani, Abdullah M. Althobaiti, Sami D. Alzaedi, Mazen A El-Rebigi, Amany M. Besher, Nehad T. Abukhatwah, Omar M.W. Alharbi, Abdullah O. Afifi, Wesam E. |
author_sort | Soliman, Ahmed S.A. |
collection | PubMed |
description | Long-term glucocorticoids administration inhibits bone mineralization and has a negative impact on basic cellular mechanisms that are critical in the development and maintenance of bone strength. Steroids can cause osteoporosis in children and have a negative impact on bone mineral content (BMC) and bone mineral density (BMD). We aim to determine the BMD of children with idiopathic nephrotic syndrome (INS) who are on corticosteroids therapy. This cross-sectional study included 90 patients on corticosteroids therapy and 50 apparently healthy age and sex-matched children served as a control group. Renal functions, bone biochemistry, and parathyroid hormone (PTH) were measured in patients and controls. BMD was measured at the lumbar spinal region (L2–L4) using Dual-energy X-ray absorptiometry (DEXA) scan in both patients and controls groups. Serum PTH, phosphorous, and alkaline phosphatase levels were significantly higher in patients than in controls. There was a statistically significant reduction in blood calcium levels in patients compared to controls. Osteopenia was diagnosed by DEXA scan in 24 patients (26.7%) and osteoporosis in 12 patients (13.3 %). There was a statistically significant decline in BMD-z score, BMD, and BMC in patients compared to the healthy group. Patients with INS on corticosteroids treatment have a lower BMD than their peers. Pediatric INS patients had a high prevalence of osteopenia and osteoporosis as measured by DEXA. Steroid therapy has a deleterious impact on bone mineralization in children with INS. |
format | Online Article Text |
id | pubmed-9387947 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-93879472022-08-23 Bone densitometry in children with idiopathic nephrotic syndrome on prolonged steroid therapy: A tertiary multicenter study Soliman, Ahmed S.A. Abukhatwah, Mohamed W. Kamal, Naglaa M. Sweed, Enas M.M. Alelyani, Abdullah M. Althobaiti, Sami D. Alzaedi, Mazen A El-Rebigi, Amany M. Besher, Nehad T. Abukhatwah, Omar M.W. Alharbi, Abdullah O. Afifi, Wesam E. Medicine (Baltimore) Research Article Long-term glucocorticoids administration inhibits bone mineralization and has a negative impact on basic cellular mechanisms that are critical in the development and maintenance of bone strength. Steroids can cause osteoporosis in children and have a negative impact on bone mineral content (BMC) and bone mineral density (BMD). We aim to determine the BMD of children with idiopathic nephrotic syndrome (INS) who are on corticosteroids therapy. This cross-sectional study included 90 patients on corticosteroids therapy and 50 apparently healthy age and sex-matched children served as a control group. Renal functions, bone biochemistry, and parathyroid hormone (PTH) were measured in patients and controls. BMD was measured at the lumbar spinal region (L2–L4) using Dual-energy X-ray absorptiometry (DEXA) scan in both patients and controls groups. Serum PTH, phosphorous, and alkaline phosphatase levels were significantly higher in patients than in controls. There was a statistically significant reduction in blood calcium levels in patients compared to controls. Osteopenia was diagnosed by DEXA scan in 24 patients (26.7%) and osteoporosis in 12 patients (13.3 %). There was a statistically significant decline in BMD-z score, BMD, and BMC in patients compared to the healthy group. Patients with INS on corticosteroids treatment have a lower BMD than their peers. Pediatric INS patients had a high prevalence of osteopenia and osteoporosis as measured by DEXA. Steroid therapy has a deleterious impact on bone mineralization in children with INS. Lippincott Williams & Wilkins 2022-08-19 /pmc/articles/PMC9387947/ /pubmed/35984137 http://dx.doi.org/10.1097/MD.0000000000029860 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. |
spellingShingle | Research Article Soliman, Ahmed S.A. Abukhatwah, Mohamed W. Kamal, Naglaa M. Sweed, Enas M.M. Alelyani, Abdullah M. Althobaiti, Sami D. Alzaedi, Mazen A El-Rebigi, Amany M. Besher, Nehad T. Abukhatwah, Omar M.W. Alharbi, Abdullah O. Afifi, Wesam E. Bone densitometry in children with idiopathic nephrotic syndrome on prolonged steroid therapy: A tertiary multicenter study |
title | Bone densitometry in children with idiopathic nephrotic syndrome on prolonged steroid therapy: A tertiary multicenter study |
title_full | Bone densitometry in children with idiopathic nephrotic syndrome on prolonged steroid therapy: A tertiary multicenter study |
title_fullStr | Bone densitometry in children with idiopathic nephrotic syndrome on prolonged steroid therapy: A tertiary multicenter study |
title_full_unstemmed | Bone densitometry in children with idiopathic nephrotic syndrome on prolonged steroid therapy: A tertiary multicenter study |
title_short | Bone densitometry in children with idiopathic nephrotic syndrome on prolonged steroid therapy: A tertiary multicenter study |
title_sort | bone densitometry in children with idiopathic nephrotic syndrome on prolonged steroid therapy: a tertiary multicenter study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9387947/ https://www.ncbi.nlm.nih.gov/pubmed/35984137 http://dx.doi.org/10.1097/MD.0000000000029860 |
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