Hypogonadism and hormone replacement therapy on bone mass of Adult Women with Thalassemia Major

Giovam Battista Rini, Enrico Carmina, Gaetana Di Fede, Lo Pinto, Roberto Malizia, Enrico Carmina, Dario Bruno, Nicola Napoli

Risultato della ricerca: Articlepeer review

46 Citazioni (Scopus)

Abstract

We studied bone mass and metabolism in 30 adult women (age 28.5 +/- 1.3) with thalassemia major (TM) and evaluated whether prolonged hormone replacement therapy (HRT) was able to optimize bone accrual. TM patients had reduced bone mass, increased bone turnover and lower serum gonadotropin and estradiol levels compared with 10 normal women of similar age. A significant correlation was found between bone mass and sex hormone levels. Six TM patients with normal ovarian function had normal bone turnover markers and modestly low bone mass (lumbar spine -1.29 +/- 0.31; femoral neck -0.60+/-0.21; Z-score). The other 24 TM women were hypogonadic and had significantly lower bone mass for age (lumbar spine -2.35 +/- 0.2, femoral neck -1.83 +/- 0.2) and increased bone turnover relative to eugonadal women. Of the hypogonadal patients, 13 had taken HRT since age 15 +/- 1 years, but their bone mass and turnover markers were not different than untreated hypogonadal patients. In conclusion, while hypogonadism negatively affects bone mass acquisition in adult TM women, HRT at the standard replacement doses is not sufficient to secure optimal bone accrual.
Lingua originaleEnglish
pagine (da-a)68-71
Numero di pagine4
RivistaCalcified Tissue International
Volume74
Stato di pubblicazionePublished - 2004

All Science Journal Classification (ASJC) codes

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  • ???subjectarea.asjc.2700.2732???
  • ???subjectarea.asjc.1300.1310???

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