eISSN: 2084-9834
ISSN: 0034-6233
Reumatologia/Rheumatology
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1/2016
vol. 54
 
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abstract:
Review paper

Osteoporosis diagnostics in patients with rheumatoid arthritis

Małgorzata Węgierska, Marta Dura, Einat Blumfield, Paweł Żuchowski, Marzena Waszczak, Sławomir Jeka

Reumatologia 2016; 54, 1: 29–34
Online publish date: 2016/03/24
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Rheumatoid arthritis (RA) is a chronic systemic connective tissue disease. The development of comorbidities often occurs in the course of RA. One of them is osteoporosis, which has serious social and economic effects and may contribute to the increase in the degree of disability and premature death of the patient. Due to the young age in which RA disease occurs, densitometry (DXA) of the lumbar spine is the basic examination in osteoporosis diagnostics. In the course of RA, much more frequently than in healthy persons of the same age, osteoporotic fractures of vertebral bodies occur, which hinder a correct assessment in the DXA test. Rheumatoid arthritis patients often undergo computed tomography (CT) examination of the abdominal cavity for other medical indications than suspected spinal injury. Then, CT examination may also serve for the assessment of bone density, especially in patients with osteoporotic fractures.
keywords:

bone densitometry, quantitative computed tomography, osteoporosis, rheumatoid arthritis







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