Source:http://linkedlifedata.com/resource/pubmed/id/17429662
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2007-7-11
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pubmed:abstractText |
Various factors influencing bone turnover and bone loss in rheumatoid arthritis (RA) are illustrated using the example of a postmenopausal woman with a highly active RA. In particular, the relationships between disease activity, vitamin D metabolism, parathyroid hormone (PTH) levels and calcium metabolism are described. High disease activity is associated with low levels of 25-hydroxycholecalciferol, and especially of 1.25-dihydroxycholecalciferol. Despite vitamin D deficiency, PTH levels were decreased and histomorphometric investigation of the iliac crest biopsy showed severe osteoporosis but no signs of osteomalacia. Suppression of the inflammatory disease activity of RA led to a normalisation of the serum levels of 1.25-dihydroxycholecalciferol and PTH. This was associated with a reduction in the initially increased levels of bone specific alkaline phosphatase to normal values. This case report shows a close relationship between disease activity and bone turnover in RA and indicates that early investigation and therapy of disturbances of bone metabolism in RA are necessary.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0340-1855
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
66
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
337-40
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pubmed:meshHeading |
pubmed-meshheading:17429662-Arthritis, Rheumatoid,
pubmed-meshheading:17429662-Calcium,
pubmed-meshheading:17429662-Female,
pubmed-meshheading:17429662-Humans,
pubmed-meshheading:17429662-Middle Aged,
pubmed-meshheading:17429662-Osteoporosis,
pubmed-meshheading:17429662-Parathyroid Hormone,
pubmed-meshheading:17429662-Vitamin D,
pubmed-meshheading:17429662-Vitamin D Deficiency
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pubmed:year |
2007
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pubmed:articleTitle |
[The mechanism of bone loss in rheumatoid arthritis. Description based on a case report].
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pubmed:affiliation |
Selbständiger Funktionsbereich Rheumatologie & Osteologie, Klinik für Innere Medizin III, Universitätsklinikum Jena, Erlanger Allee 101, 07740 Jena. peter.oelzner@med.uni-jena.de
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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