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Tytuł pozycji:

Drug Treatment of Low Bone Mass and Other Bone Conditions in Pediatric Patients.

Tytuł:
Drug Treatment of Low Bone Mass and Other Bone Conditions in Pediatric Patients.
Autorzy:
Costi S; University of Milan, Milan, Italy.
Giani T; University of Milan, Milan, Italy.; Department of Clinical Sciences and Community Health; and Research Center for Adult and Pediatric Rheumatic Diseases, University of Milan, Milan, Italy.
Orsini F; University of Milan, Milan, Italy.
Cimaz R; ASST Gaetano Pini-CTO, Milan, Italy. .; Department of Clinical Sciences and Community Health; and Research Center for Adult and Pediatric Rheumatic Diseases, University of Milan, Milan, Italy. .
Źródło:
Paediatric drugs [Paediatr Drugs] 2022 Mar; Vol. 24 (2), pp. 103-119. Date of Electronic Publication: 2022 Jan 11.
Typ publikacji:
Journal Article; Review
Język:
English
Imprint Name(s):
Publication: June 2010- : Cham, Switzerland : Springer International
Original Publication: Auckland ; Philadelphia : Adis International, c1999-
MeSH Terms:
Bone Density Conservation Agents*/therapeutic use
Osteoporosis*/drug therapy
Osteoporosis*/etiology
Bone Density ; Child ; Denosumab/adverse effects ; Diphosphonates/therapeutic use ; Humans ; Risk Factors
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Substance Nomenclature:
0 (Bone Density Conservation Agents)
0 (Diphosphonates)
4EQZ6YO2HI (Denosumab)
Entry Date(s):
Date Created: 20220111 Date Completed: 20220324 Latest Revision: 20220531
Update Code:
20240104
DOI:
10.1007/s40272-021-00487-7
PMID:
35013997
Czasopismo naukowe
Osteoporosis may affect young individuals, albeit infrequently. In childhood, bone mass increases, reaching its peak between the second and third decades; then, after a period of stability, it gradually declines. Several conditions, including genetic disorders, chronic diseases, and some medications, can have an impact on bone homeostasis. Diagnosis in young patients is based on the criteria defined by the International Society for Clinical Densitometry (ISCD), published in 2013. High risk factors should be identified and monitored. Often simple interventions aimed to eliminate the underlying cause, to minimize the negative bone effects linked to drugs, or to increase calcium and vitamin D intake can protect bone mass. However, in selected cases, pharmacological treatment should be considered. Bisphosphonates remain the main therapeutic agent for children with significant skeletal fragility and are also useful in a large number of other bone conditions. Denosumab, an anti-RANKL antibody, could become a potential alternative treatment. Clinical trials to evaluate the long-term effects and safety of denosumab in children are ongoing.
(© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)

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