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Generalized osteoporosis of mixed origin with severe compression fractures and pain syndrome

https://doi.org/10.14341/omet2013432-35

Abstract

He main issue in osteoporosis management is the duration of treatment with different drugs particularly in cases of severe osteoporosis with high fracture risks and indications of switching from one to other agents. Denosumab is a new class of osteoporosis treatment called a human monoclonal antibody that prevents RANKL-RANK interaction and thereby inhibits osteoclast formation, demonstrates significant efficacy for vertebral, nonvertebral and hip fracture risk reduction. This case demonstrates multifactorial reasons for osteoporosis development (postmenopausal osteoporosis, primary hyperparathyroidism), as well as the long-term applying of different osteoporosis drugs with various actions mechanisms and different effectiveness.

About the Authors

A Lipatenkova

aspirant otdeleniya neyroendokrinologii i osteopatiy


L Dzeranova

d.m.n., gl. nauch. sotr. otdeleniya neyroendokrinologii i osteopatiy


E Pigarova

k.m.n., ved. nauch. sotr. otdeleniya neyroendokrinologii i osteopatiy


N Sazonova



References

1. Рожинская Л.Я. Современная стратегия профилактики и лечения остеопороза. Русский медицинский журнал, 2005; 6: 344–352.

2. Белая Ж.Е., Рожинская Л.Я. Новые направления в терапии остеопороза – применение моноклональных человеческих антител к RANKL (Деносумаб). Остеопороз и Остеопатии. 2011; 2: 19–22.

3. Jabbar S., Drury J., Fordham J.N. etal. (2011) Osteoprotegerin, RANKL and bone turnover in postmenopausal osteoporosis. J. Clin. Pathol.; 64: 354–357.

4. MсСlung M.R., Lewiecki E.M., Cohen S.B. etal. Denosumab, a RANKL inhibitor, in postmenopausal women with low bone mineral density. N. Engl. J. Med. 2006; 354: 821–831.

5. Сummings S.R., McClung M.R., Christiansen C. etal. A phase Ш study of the effects of denosumab on vertebral, nonvertebral, and hip fracture in women with osteoporosis: results from the FREEDOM trial. J BoneMinRes2008;23:Suppl:S80

6. Josse R., Khan A., Ngui D., Shapiro M. Denosumab, a new pharmacotherapy option for postmenopausal osteoporosis. Curr. Med. Res. Opin., 2013; 29(3): 205–216.

7. Brown JP, Prince RL, Deal C, Recker RR, Kiel DP, de GregorioLH, Hadji P, Hofbauer LC, Alvaro-Gracia JM, Wang H, Austin M, Wagman RB, NewmarkR,Libanati C, San Martin J, Bone HG.Comparison of the effect of denosumab and alendronate on BMD and biochemical markers of bone turnover in postmenopausal women with low bone mass: a randomized, blinded, phase 3 trial. J Bone Miner Res. 2009 Jan; 24(1): 153–61.

8. Bone HG и соавт., Bolognese MA, Yuen CK, Kendler DL, Miller PD, Yang YC, et al. Effects of denosumab treatment and discontinuation on bone mineral density and bone turnover markers in postmenopausal women with low bone mass. J Clin Endocrinol Metab 2011 Apr; 96(4): 972–80.


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 ,  ,  ,   Generalized osteoporosis of mixed origin with severe compression fractures and pain syndrome. Obesity and metabolism. 2013;10(4):32-35. (In Russ.) https://doi.org/10.14341/omet2013432-35

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ISSN 2071-8713 (Print)
ISSN 2306-5524 (Online)