Vertebral fractures in Gaucher disease type I: data from the French “Observatoire” on Gaucher disease (FROG)
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : R.-M. Javier & E. Hachulla & C. Rose & V. Gressin & P. Chérin & E. Noël & C. de Roux-Serratrice & D. Dobbelaere & A. Hartmann & R. Jaussaud & P. Cler
- چاپ و سال / کشور: 2010
Description
Summary Gaucher disease type 1 (GD1), results in a range of skeletal complications including osteopenia, osteoporosis, and osteonecrosis, but there is little published information regarding vertebral fractures. Findings from this observational study indicated that the prevalence of vertebral fractures in a cohort of adult French GD1 patients is approximately 15%. Introduction The aim of the study was to assess the prevalence and characteristics of vertebral fractures in a cohort of adult patients with GD1. Methods This study was performed in adult patients with GD1 based on a detailed and complete clinical examination. For all patients for whom vertebral fractures were reported, a specific questionnaire was sent to physicians, and imaging data were collected, when available, for centralized analysis. Results Data were collected from a total of 105 adult GD1 patients. Bone complications were reported in 85% of patients, among whom vertebral fractures were diagnosed in 16 (15%); seven women and nine men (mean age, 45 years). We observed five patients with multiple vertebral fractures and one patient in whom the T3 vertebra was fractured. Most of these patients did not report fracture-related back pain. Conclusions The prevalence of vertebral fractures in this cohort of adult patients with GD1 was 15%. Greater awareness of the natural history of vertebral fractures in GD1, and rigorous monitoring of bone fragility and spine involvement in affected patients, should allow earlier detection and initiation of treatment tailored toward improving bone status.
Osteoporos Int (2011) 22:1255–1261 DOI 10.1007/s00198-010-1342-y Received: 21 December 2009 / Accepted: 8 June 2010 / Published online: 4 August 2010
