Effects of intranasal salmon calcitonin in juvenile idiopathic arthritis: an observational study

dc.contributor.authorSiamopoulou, A.en
dc.contributor.authorChalla, A.en
dc.contributor.authorKapoglou, P.en
dc.contributor.authorCholevas, V.en
dc.contributor.authorMavridis, A. K.en
dc.contributor.authorLapatsanis, P. D.en
dc.date.accessioned2015-11-24T19:21:04Z
dc.date.available2015-11-24T19:21:04Z
dc.identifier.issn0171-967X-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22081
dc.rightsDefault Licence-
dc.subjectAbsorptiometry, Photonen
dc.subjectAdministration, Intranasalen
dc.subjectAdolescenten
dc.subjectAlkaline Phosphatase/blooden
dc.subjectArthritis, Juvenile Rheumatoid/*drug therapy/metabolism/physiopathologyen
dc.subjectBiological Markers/blood/urineen
dc.subjectBone Density/drug effectsen
dc.subjectBone Resorption/drug therapy/metabolismen
dc.subjectCalcitonin/administration & dosage/*therapeutic useen
dc.subjectCalcium/metabolism/therapeutic useen
dc.subjectDietary Supplementsen
dc.subjectHumansen
dc.subjectJoints/physiopathologyen
dc.subjectLumbar Vertebrae/metabolism/radiographyen
dc.subjectOsteocalcin/blooden
dc.subjectSeverity of Illness Indexen
dc.subjectTreatment Outcomeen
dc.titleEffects of intranasal salmon calcitonin in juvenile idiopathic arthritis: an observational studyen
heal.abstractThe aim of this study was to follow the changes in bone mineral density (BMD) and biochemical markers of bone turnover in 10 children (7.5-17.5 years of age) with severe juvenile idiopathic arthritis (JIA), during a 3-year therapy with salmon calcitonin (100 IU/day 2 months on and 2 off for a year and 200 IU/day for 2 years) and calcium (500 mg/day). All patients were functional classes III and IV and were measured at yearly intervals with a dual photon absorptiometer at the lumbar spine. The changes observed were 7.2-9.5% per year for BMD and 2.0-6.0% for volumetric bone mineral density (BMDvol). The bone resorption markers showed significant decreases after a year's treatment (Pyr/Cr from 175+/-15 to 108+/-15 nm/mm, P < 0.001, Pyr-D/Cr from 24.3+/-3.5 to 13.3+/-1.9 nm/mm, P < 0.05, and OHPr/Cr from 57.4+/-11 to 35.1+/-8.4 microg/mg) and smaller changes thereafter. No significant changes were observed in the bone formation markers of osteocalcin and alkaline phosphatase. Serum iPTH, the vitamin D metabolites, and calcium concentrations fluctuated within normal, while calcium excretion increased from 0.3+/-0.1 to 1.9+/-0.4 mg/kg/24 hours, P < 0.001. In conclusion, the present study, despite its limitations of not being placebo controlled, shows possible beneficial effects of intranasal calcitonin on bone resorption and pain relief in JIA patients.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/11685430-
heal.identifier.secondaryhttp://www.springerlink.com/content/ca9wn0nt10ju07qa/fulltext.pdf-
heal.journalNameCalcif Tissue Inten
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2001-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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