Bone diseases
1-minute read
Follow the links below to find trusted information about bone diseases.
Last reviewed: May 2018
1-minute read
Follow the links below to find trusted information about bone diseases.
Last reviewed: May 2018
These trusted information partners have more on this topic.
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Renal osteodystrophy refers to changes in bone due to chronic kidney failure or kidney disease. It is characterised by abnormal bone mineral levels.
Read more on myVMC – Virtual Medical Centre website
Brittle bone disorder or osteogenesis imperfecta is actually a connective tissue disorder, resulting from the defective synthesis of type 1 collagen.
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Osteoporosis is a condition of reduced bone density or bone mass which causes brittle bones that break easily. Calcium and vitamin D protect bone health.
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Hypophosphatasia is an inherited bone diseases that causes skeletal deformation in children. In severe cases it causes infant death within weeks.
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How and why Bone Markers are used
Read more on Lab Tests Online website
Rickets is a preventable childhood bone disease caused by a lack of vitamin D.
Read more on Better Health Channel website
Fibrous dysplasia is a skeletal disorder characterised by deformed bones. Bones expand due to abnormal growth of fibrous or connective tissues in the bones.
Read more on myVMC – Virtual Medical Centre website
Osgood-Schlatter disease causes knee pain in teenagers. Find out about the causes, symptoms and treatment.
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Osteitis fibrosa cystica is a complication of hyperparathyroidism. Bone becomes soft, deformed and/or develops cycsts. Surgery is usually required.
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This information from the Leukaemia Foundation of Queensland is designed to help you, your family and friends understand and cope with the complex issues of Cancer and bone marrow diseases.
Read more on Leukaemia Foundation website
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Chronic kidney disease (CKD) resulting in reduced kidney function and the need for dialysis and kidney transplant is associated with abnormalities in serum calcium and phosphorus levels leading to high levels of the parathyroid hormone (PTH) and to bone disease. This may result in bone deformities, bone pain, fractures and reduced growth rates. Commonly used treatments (vitamin D compounds and phosphate binders) aim to prevent or correct these outcomes. However, these treatments may raise levels of blood calcium, allow calcium and phosphorus deposition in blood vessels and lead to early cardiovascular disease, which is known to be a problem in adults with CKD.
Read more on Cochrane (Australasian Centre) website
Recipients of a kidney transplants have a pre-existing increase in bone fragility resulting from kidney disease. Bone mineral density decreases rapidly in the first year after engraftment and there is continued bone loss through the period of transplantation. The incidence of fracture following successful transplantation is greater than 2% per annum. Bone loss and fracture risk are significantly higher than both the general and dialysis population. This study examines the benefits and risks of treatments used to reduce bone disease following kidney transplantation. Twenty-four trials (12,99 patients) were included. No individual intervention (bisphosphonate, vitamin D sterol or calcitonin) has been shown in randomised controlled trials to reduce fracture risk after kidney transplantation. Meta analysis of all available such trials combined, however, shows that any intervention (bisphosphonate, vitamin D sterol, or calcitonin) for bone disease in kidney transplant recipients does reduce the risk of fracture in this population. These agents also provide a significant improvement in bone mineral density when given after transplantation, although the clinical significance of this is uncertain due to the lack of validation in bone densitometry in chronic kidney disease. Bisphosphonates have greater efficacy to preserve bone mineral density than vitamin D sterols in head-to-head trials.
Read more on Cochrane (Australasian Centre) website
People with chronic kidney disease (CKD) develop impaired excretion of the dietary phosphorus. This results in a condition known as mineral and bone disorder in chronic kidney disease (CKD-MBD). CKD-MBD is characterized by high bone turnover, increased musculoskeletal morbidity including bone pain and muscle weakness, and vascular calcification which may contribute to the high incidence of cardiovascular disease and associated deaths. Several agents such as phosphate binders, vitamin D compounds, and calcimimetics are widely used to slow the development and progression of CKD-MBD complications.
Read more on Cochrane (Australasian Centre) website
Read more on Cochrane (Australasian Centre) website
Cancers of the bone marrow, lymphatic tissue and blood are considered as haematological malignancies. The most common types of haematological malignancies are lymphoma, leukaemia and myeloma but they also include myelodysplastic syndromes or myeloproliferative diseases. Within each type of disease there are various sub-divisions. There are several treatment options depending on the type and severity of the cancer. The most common therapies are chemotherapy, radiotherapy or a combination of both. In some cases, stem cell transplantation is offered (this is where either the patient's own bone marrow cells or cells of another person are implanted in the patient's body after aggressive chemotherapy). Those suffering from haematological cancers may have serious symptoms, and treatments often cause severe and distressing side effects.
Read more on Cochrane (Australasian Centre) website
Waldenstrom's macroglobulinaemia (WM) is an uncommon B-cell lymphoproliferative disorder characterised by bone marrow infiltration and production of monoclonal immunoglobulin. It is a kind of non-Hodgkin's lymphoma which can lead to death. Alkylating agents are believed to be effective in treatment of Waldenstrom's macroglobulinaemia for alleviating symptoms and elongating survival time. The review authors found one randomised controlled trial with 92 participants that considered fludarabine was superior to the alkylating agents-containing regimen for pretreated/relapsed patients with Waldenstrom's macroglobulinaemia.
Read more on Cochrane (Australasian Centre) website
Are changes to diet effective to manage mineral and bone abnormalities in people with chronic kidney disease?
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Inhaled corticosteroid effects on bone metabolism in asthma and mild chronic obstructive pulmonary disease
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This summary of a Cochrane review presents what we know from research about the advantages and disadvantages of using fresh frozen bone or processed bone for repairing the hip bone during surgery.
Read more on Cochrane (Australasian Centre) website
People with lower kidney function (chronic kidney disease; CKD) develop changes in circulating blood levels of calcium and phosphorus. The kidney gradually loses the ability to remove phosphorus from the blood and cannot activate adequate amounts of vitamin D to maintain normal levels of calcium. The parathyroid gland senses these changes and compensates to increase calcium by elevating production and release of parathyroid hormone (PTH). These metabolic changes alter bone metabolism to release calcium and accordingly lead to bone abnormalities including altered bone production. In turn, bony changes may result in bone deformation, bone pain, and altered risks of fracture.
Read more on Cochrane (Australasian Centre) website
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