COVID-19 treatment and glucocorticoid-induced osteoporosis: a case report
Authors:
Štambera Dalibor
Authors‘ workplace:
Kardiologická a osteologická ambulance, Kardio Znojmo s. r. o
Published in:
Clinical Osteology 2024; 29(4): 151-156
Category:
Overview
This case report describes the case of a patient treated with glucocorticoids in connection with his COVID-19 disease, who was subsequently diagnosed with glucocorticoid-induced osteoporosis (GIOP), the most common type of secondary osteoporosis today, based on densitometric findings and a history of low-strain fracture. The article highlights the need for preventive vitamin D and calcium supplementation during glucocorticoid treatment and also the need to perform whole-body densitometry at prescribed intervals in accordance with relevant recommendations.
Keywords:
calcium (Ca) – COVID-19 – densitometry – glucocorticoids – glucocorticoid-induced osteo-porosis (GIOP) – supplementation – vitamin D
Sources
Trojánek M, Grebenyuk V, Herrmannová K et al. Nový koronavirus (SARS-CoV-2) a onemocnění COVID-19. Nedatováno. Dostupné z WWW: <https://infektologie.cz/Covid2019/Covid19-CLC20.pdf>.
Štefan M, Chrdle A, Husa P et al. COVID-19: diagnostika a léčba. Nedatováno. Dostupné z WWW: <https://infektologie.cz/DPCovid21/DP5-covid-DP-podrobny-10–22.pdf>.
OECD. The impact of COVID-19 on health and health systems – OECD [24–06- 2024]. Dostupné z WWW: <https://www.oecd.org/health/COVID-19.htm>.
NHS. COVID-19-healthcare-delivery-impacts-quick-sheet.pdf. [24–06–2024]. Dostupné z WWW: <https://files.asprtracie.hhs.gov/documents/COVID-19-healthcaredelivery-impacts-quick-sheet.pdf>.
Čechům se během pandemie zhoršil zdravotní stav, odkládali návštěvu lékaře. Ministerstvo zdravotnictví. [24–06–2024]. Dostupné z WWW: <https://mzd.gov.cz/tiskove-centrum-mz/cechum-se-behem-pandemie-zhorsilzdravotni-stav-odkladali-navstevu-lekare/>.
Džupa V a Jenšovský J ed. Diagnostika a léčba osteoporózy a dalších onemocnění skeletu. Karolinum: Praha 2018. ISBN 978–80–246–3761–7.
Pikner R, Palička V, Vyskocil V et al. Definice osteoporotické (křehké) zlomeniny: stanovisko Společnosti pro metabolická onemocnění skeletu České lékařské společnosti J. E. Purkyně (SMOS ČLS JEP). Clin Osteol 2020; 25(2): 83–84.
Willers C, Norton N, Harvey NC et al. [The Scope Review Panel of the IOF]. Osteoporosis in Europe: a compendium of country-specific reports. Arch Osteopor 2022; 17(1): 1–129. Dostupné z DOI: <http://dx.doi.org/10.1007/s11657–021–00969–8>.
Kanis JA, Cooper C, Rizzoli R et al. [Scientific advisory board of the European Society for Clinical and Economic aspects of Osteoporosis (ESCEO) and the committees of scientific advisors and national societies of the International Osteoporosis Foundation (IOF)]. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteopor Int 2019; 30(1): 3–44. Dostupné z DOI: http://dx.doi.org/10.1007/s00198–018–4704–5>
Harris K, Zagar CA, Lawrence KV. Osteoporosis: Common Questions and Answers. Am Fam Physician 2023; 107(3): 238–246.
Humphrey MB, Russell L, Danila MI et al. 2022 American College of Rheumatology Guideline for the Prevention and Treatment of Glucocorticoid-Induced Osteoporosis. Arthritis Rheumatol 2023; 75(12): 2088–2102. Dostupné z DOI: <http://dx.doi.org/10.1002/art.42646>.
Zikán V. Glukokortikoidy Indukovaná osteoporóza. Interni Med 2007; 9(7–8): 324–327.
Evenity. Souhrn údajů o přípravku. Dostupné z WWW: <https://www.ema.europa.eu/cs/documents/product-information/evenity-epar-productinformation_cs.pdf>.
Teriparatid – SÚKL ceny a úhrady. SÚKL – Přehled léčiv. [24–06–2024]. Dostupné z WWW: <https://prehledy.sukl.cz/prehled_leciv.html#/leciva/0025491>.
Gregson C, Armstrong DJ, Bowden J et al. UK clinical guideline for the prevention and treatment of osteoporosis. Arch Osteoporos 2022; 17(1): 58. Dostupné z DOI: <http://dx.doi.org/10.1007/s11657–022–01061–5>.
Leboff MS, Greenspan SL, Insogna KL et al. The clinician’s guide to prevention and treatment of osteoporosis. Osteoporos Int 2022; 33(10): 2049–2102. Dostupné z DOI: <http://dx.doi.org/10.1007/s00198–021–05900-y>.
Bayer M, Pavel Horák P, Palička V et al. Dlouhodobá léčba osteoporózy denosumabem a její přerušení: odborné stanovisko pracovní skupiny Společnosti pro metabolická onemocnění skeletu České lékařské společnosti J. E. Purkyně. Clin Osteol 2018; 23(1): 32–37.
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Clinical Osteology
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