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The Early Onset of Disease May Be a Risk Factor for Decreased Bone Mineral Density in Patients with Inflammatory Bowel Disease
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Hwa Jong Kim, Su Jin Hong, Young Woo Jeon, Jae Pil Han, Seung Hyo Han, Jee Heon Kang, Jae Woong Tae, Hee Sook Lim, Hee Kyung Kim, Bong Min Ko, Moon Sung Lee
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Clin Endosc 2013;46(1):71-76. Published online January 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.1.71
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Abstract
PDFPubReaderePub
- Background/Aims
The pathogenesis of bone loss in patients with inflammatory bowel disease (IBD) is complex, multifactorial, and only partly understood. We aimed to examine the extent and risk factors of bone mass reduction and to analyze the impact of early onset of a disease before attaining peak bone mass in IBD patients. MethodsWe compared the risk factors for osteoporosis and BMD at the lumbar spine and the hip bone in IBD patients. ResultsA total of 44 patients with IBD were enrolled. Twenty-one and 23 patients were diagnosed as IBD before and after the age of 30 and designated as group A and group B, respectively. Group A had significant bone mass reduction at the lumbar spine than group B (BMD, 1.01±0.10 vs. 1.14±0.17, p<0.01; T-score, -1.22±0.84 vs. -0.08±1.39, p<0.01; Z-score, -1.11±0.81 vs. -0.03±1.32, p<0.01, respectively). Multivariate analysis showed that patients diagnosed as IBD before the age of 30 had possible risk factor of bone mass reduction (hazard ratio, 3.96; p=0.06). ConclusionsBone mass reduction was more severe in patients who were diagnosed with IBD before the age of 30 than in those diagnosed after the age of 30.
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Citations
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- Small and Large Intestine (II): Inflammatory Bowel Disease, Short Bowel Syndrome, and Malignant Tumors of the Digestive Tract
Yolanda Ber, Santiago García-Lopez, Carla J. Gargallo-Puyuelo, Fernando Gomollón Nutrients.2021; 13(7): 2325. CrossRef - Infliximab for very early‐onset inflammatory bowel disease: A tertiary center experience in Japan
Ichiro Takeuchi, Yoichiro Kaburaki, Katsuhiro Arai, Hirotaka Shimizu, Yuri Hirano, Satoru Nagata, Toshiaki Shimizu Journal of Gastroenterology and Hepatology.2020; 35(4): 593. CrossRef - Advances in nutritional therapy in inflammatory bowel diseases: Review
Andrzej Wędrychowicz World Journal of Gastroenterology.2016; 22(3): 1045. CrossRef - Nutritional aspect of pediatric inflammatory bowel disease: its clinical importance
Seung Kim, Hong Koh Korean Journal of Pediatrics.2015; 58(10): 363. CrossRef - Biomarkers of Cartilage and Surrounding Joint Tissue
Anne S Siebuhr, Yi He, Natasja S Gudmann, Aurelie Gram, Cecilie F Kjelgaard-Petersen, Per Qvist, Morten A Karsdal, Anne C Bay-Jensen Biomarkers in Medicine.2014; 8(5): 713. CrossRef - Crohn's disease and growth deficiency in children and adolescents
Marco Gasparetto World Journal of Gastroenterology.2014; 20(37): 13219. CrossRef - Can Early Onset of Disease Be One of the Risk Factors for Low Bone Mineral Density in Patients with Inflammatory Bowel Disease?
Kwang An Kwon, Yang Suh Ku Clinical Endoscopy.2013; 46(1): 5. CrossRef
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A Hypereosinophilic Syndrome Presenting as Eosinophilic Colitis
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Young Woo Jeon, Su Jin Hong, Hwa Jong Kim, Jae Pil Han, Hee Kyung Kim, Bong Min Ko, Sung Kyu Park, Moon Sung Lee
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Clin Endosc 2012;45(4):444-447. Published online November 30, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.4.444
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Abstract
PDFPubReaderePub
Hypereosinophilic syndrome (HES) has three defining features: marked hypereosinophilia for at least 6 months, no confirmed etiology for the eosinophilia, and eosinophilia-related symptoms or organ dysfunction. However, a shorter period of hypereosinophilia with symptoms requiring eosinophil-lowering therapy is also acceptable. We report a case of HES presenting as eosinophilic colitis. Although hypereosinophilia was present for 3 months, this patient needed to be treated with eosionphil-lowering therapy for severe hematochezia. After systemic corticosteroid therapy, symptoms caused by organ involvement were dramatically improved.
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Citations
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- Hyper-eosinophilic syndrome: An uncommon cause of chronic abdominal pain in an elderly male
Dibya L Praharaj, Bipadabhanjan Mallick, Preetam Nath, Sarat C Panigrahi, Anil C Anand, Rajkumar Sharma Tropical Doctor.2021; 51(4): 640. CrossRef - Platelet-derived growth factor receptor-alpha-positive myeloid neoplasm presenting as eosinophilic gastrointestinal disease
Gregory M. Constantine, JeanAnne Ware, Thomas Brown, Lauren Thumm, Natasha Kamal, Sheila Kumar, David Kleiner, Irina Maric, Amy D. Klion The Journal of Allergy and Clinical Immunology: In Practice.2020; 8(6): 2089. CrossRef - Gastrointestinal Manifestations of Hypereosinophilic Syndromes and Mast Cell Disorders: a Comprehensive Review
Vivian C. Nanagas, Anna Kovalszki Clinical Reviews in Allergy & Immunology.2019; 57(2): 194. CrossRef - Hypereosinophilic Syndrome Presenting as Intussusception in Adults
Nuri Chon, WooJung Kim, Sang Young Park, Kwang Hyun Kim Korean Journal of Medicine.2014; 87(5): 585. CrossRef - Syndrome hyperéosinophilique de type myéloprolifératif révélé par une ascite : à propos d’un cas
M. Boudabbous, H. Mnif, H. Bellaj, K. Yaïch, L. Chtourou, L. Mnif, A. Amouri, N. Tahri Journal Africain d'Hépato-Gastroentérologie.2014; 8(2): 89. CrossRef - Recurrent cutaneous necrotizing eosinophilic vasculitis: a case report and review of the literature
Wenfei Li, Wang Cao, Haiyan Song, Yanxia Ciu, Xianmei Lu, Furen Zhang Diagnostic Pathology.2013;[Epub] CrossRef
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