Tibial Fracture in an Elderly Female Patient of Rheumatoid Arthritis: A Preventable Iatrogenic Injury
Dublin Core
Title
Tibial Fracture in an Elderly Female Patient of Rheumatoid Arthritis: A Preventable Iatrogenic Injury
Creator
Shambo Samrat Samajdar
Shatavisa Mukherjee
Sumalya Sen
Santanu Tripathi
Date
2019-08-13
Type
Journal Article
Zotero
Item Type
Journal Article
DOI
10.31878/ijcrpp.2019.33.2
ISSN
2523-6709, 2523-6695
Abstract Note
Oral systemic glucocorticoids widely used in the medical practice to treat various diseases like asthma, systemic connective tissue diseases, other autoimmune diseases and in transplantology, are considered the main cause of secondary and iatrogenic osteoporosis. The pathogenesis of glucocorticoid induced bone loss is multifactorial and complex. The exact mechanism remains undefined. The present report describes a case of 65 yr old female presenting with fracture in mid shaft of tibia after a very low velocity trauma. On medical history elicitation, she was found to be treated for rheumatoid arthritis with oral glucocorticoids. Causality, severity and preventability assessment was done for the reaction. Potentiality of glucocorticoids causing fractures is often neglected by professionals and ignored by patient and their caregivers. Given the potential for rapid bone loss with glucocorticoid therapy, frequent monitoring is warranted while bearing in mind that BMD is a surrogate marker for fracture risk and patients on glucocorticoids fracture at higher BMD than other patients. Once treatment is initiated, BMD should be monitored annually to ensure compliance and efficacy.
Access Date
2020-06-13 00:06:46
Date
2019-08-13
Journal Abbreviation
IJCRPP
Library Catalog
DOI.org (Crossref)
Pages
4-6
Publication Title
International Journal of Current Research in Physiology and Pharmacology (IJCRPP)
Short Title
Tibial Fracture in an Elderly Female Patient of Rheumatoid Arthritis
Title
Tibial Fracture in an Elderly Female Patient of Rheumatoid Arthritis: A Preventable Iatrogenic Injury
URL
https://sumathipublications.com/index.php/ijcrpp/article/view/289
Attachment Title
Full Text
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Citation
Shambo Samrat Samajdar et al., “Tibial Fracture in an Elderly Female Patient of Rheumatoid Arthritis: A Preventable Iatrogenic Injury,” Open Aceess Journals Archives, accessed April 23, 2021, https://www.oajour.info/items/show/888.