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Article dans une revue

Bone Loss, Osteoporosis, and Fractures in Patients with Rheumatoid Arthritis: A Review

Abstract : Rheumatoid arthritis (RA) is often characterized by bone loss and fragility fractures and is a frequent comorbidity. Compared with a matched population, RA patients with fractures have more common risk factors of osteoporosis and fragility fractures but also risk factors resulting from the disease itself such as duration, intensity of the inflammation and disability, and cachexia. The inflammatory reaction in the synovium results in the production of numerous cytokines (interleukin-1, interleukin-6, tumor necrosis factor) that activate osteoclasts and mediate cartilage and bone destruction of the joints, but also have a systemic effect leading to generalized bone loss. Regular bone mineral density (BMD) measurement, fracture risk assessment using tools such as the FRAX algorithm, and vertebral fracture assessment (VFA) should be performed for early detection of osteoporosis and accurate treatment in RA patients.
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https://hal-u-picardie.archives-ouvertes.fr/hal-03564004
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Soumis le : jeudi 10 février 2022 - 10:06:31
Dernière modification le : vendredi 5 août 2022 - 11:25:19

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Patrice Fardellone, Emad Salawati, Laure Le Monnier, Vincent Goeb. Bone Loss, Osteoporosis, and Fractures in Patients with Rheumatoid Arthritis: A Review. Journal of Clinical Medicine, MDPI, 2020, 9 (10), ⟨10.3390/jcm9103361⟩. ⟨hal-03564004⟩

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