SciELO - Scientific Electronic Library Online

 
vol.59 issue5Anorectal leiomyomas: report of two cases with different anatomical patterns and literature reviewHypophosphatemia in critically ill children author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Revista do Hospital das Clínicas

Print version ISSN 0041-8781

Abstract

SOUZA, Sonia Cristina de Magalhães; BORGES, Claudia Tereza Lobato; JORGETTI, Vanda  and  PEREIRA, Rosa Maria Rodrigues. The effect of intravenous zoledronic acid on glucocorticoid-induced multiple vertebral fractures in juvenile systemic lupus erythematosus. Rev. Hosp. Clin. [online]. 2004, vol.59, n.5, pp. 302-305. ISSN 0041-8781.  http://dx.doi.org/10.1590/S0041-87812004000500014.

Glucocorticoids are widely used in the treatment of lupus patients, and adverse effects, which include osteoporosis and associated fractures, are frequent. Treatment of osteoporosis of young patients should be effective and not harmful to bone growth and remodeling. Bisphosphonates are drugs that decrease the incidence of bone fractures, but their use in juvenile patients is still controversial because of their possible side effects on the growing skeleton. However, recently published studies showed that linear growth continued normally after treatment with these drugs, and there was no excessive suppression of bone remodeling or mineralization defects. Zoledronic acid is a new intravenous bisphosphonate that has been approved by the US FDA for use with hypercalcemia of malignancies and might be an effective treatment for postmenopausal osteoporosis. The authors report a case of a young girl with systemic lupus who developed multiple vertebral collapses due to glucocorticoid therapy, and zoledronic acid was used producing significant clinical and densitometric improvement.

Keywords : Glucocorticoid-induced osteoporosis; Juvenile osteoporosis; Zoledronic acid; Bisphosphonates.

        · abstract in Portuguese     · text in English     · pdf in English