慢性関節リウマチ各stage別における各種骨マーカーの変化とpQCTによる骨病変進展度評価  健常者ならびにステロイド使用SLE例を対照として

  • 柳川 明
    聖マリアンナ医科大学東館応用薬理研究室
  • 高野 恵雄
    聖マリアンナ医科大学東館応用薬理研究室
  • 水島 裕
    聖マリアンナ医科大学難病治療研究センター
  • 清川 重人
    聖マリアンナ医科大学内科臨床検査医学教室
  • 中川 武正
    聖マリアンナ医科大学東横病院内科

書誌事項

タイトル別名
  • Bone mass and markers of bone metabolism in premenopansal women with rheumatoid arthritis.
  • ―健常者ならびにステロイド使用SLE例を対照として―
公開日
1998
DOI
  • 10.2492/jsir1981.18.129
公開者
日本炎症・再生医学会

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説明

Generalized bone loss is recognized as a major event in RA. Both biochemical parameters of bone metabolism and the bone mineral density were investigated in remission, non-steroid treated patients with RA in order to assess bone turnover and bone loss in remission phase RA.<BR>We studied 31 patients of remission RA with good response to DMARDs and compared with remission SLE and normal young adults. Urinary NTx, pyridinoline (PYR), deoxypyridinoline (DPYR) and TRAP, as parameters of bone resorption and serum bone related alkaline phosphatase (ALP III), osteocalcine and ICP (S) were measured in RA, SLE and healthy subjects. Total bone density (TBD), trabecular density (TD) and cortex density (CD) were also evaluated using XCT960 pQCT.<BR>ALP III, osteocalcine and ICP (S) levels were significantly lower in RA compared with 6 healthy subjects, but there was no significant difference between SLE and healthy subjects.<BR>PYR levels were elevated in stage III and IV of RA but were similar between SLE and healthy subjects. TBD including TD and CD was significantly reduced in RA patients compared with the control group. Decreasing ratio of TBD in RA patients was correlated with advancement of RA. However, TBD value in stage IV RA patients were seemingly increased as compression fracture of lumber spine in osteoporosis.<BR>These results suggest that bone metabolism may be uncouple in remission phase RA. Bone formation appeared to be reduced, whereas resorption is increased.

収録刊行物

  • 炎症

    炎症 18 (2), 129-137, 1998

    日本炎症・再生医学会

被引用文献 (1)*注記

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詳細情報 詳細情報について

  • CRID
    1390282679762485504
  • NII論文ID
    130003709541
  • DOI
    10.2492/jsir1981.18.129
  • ISSN
    18844006
    03894290
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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