Bone mineral density in patients with Crohn's disease during long-term treatment with azathioprine.

Abstract:

OBJECTIVES:To ascertain whether patients with Crohn's disease treated with azathioprine maintained bone mineral mass better than patients treated with steroids alone. DESIGN:Retrospective study. SETTING:University Hospital of Malmö, Sweden. SUBJECTS:A total of 59 patients with ileocolonic, ileocaecal or colonic Crohn's disease. METHODS:Bone mass was assessed by dual photon X-ray absorptiometry at the level of L2-L4. RESULTS:Patients treated with a high lifetime dose of steroids (> 5 g prednisolone) had significantly (P = 0.011) lower Z-score of L2-L4 (-0.87 +/- 1.11; 11 SD) than steroid-treated patients, who had received a low dose of prednisolone (< 5 g) (0.08 +/- 1.16 SD). Azathioprine did not negatively influence the steroid effect on bone mineral density. CONCLUSIONS:Azathioprine does not seem to affect bone mineral density by itself. However, by being steroid-saving, it seems to conserve bone mineral mass in patients with Crohn's disease.

journal_name

J Intern Med

authors

Florén CH,Ahrén B,Bengtsson M,Bartosik J,Obrant K

doi

10.1046/j.1365-2796.1998.00246.x

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

123-6

issue

2

eissn

0954-6820

issn

1365-2796

journal_volume

243

pub_type

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