Table 1.
Male:Female | 7:22 | |
Age (years) | 50.4 ± 15.9 | |
<50 | 15 (51.7 %) | |
50- 65 | 8 (27.6 %) | |
≥65 | 6 (20.7 %) | |
Risk factor scores for fracture* | 5.7 ± 2.8 | |
Past history of fracture | 5 (17.2 %) | |
fracture site | all lumbar spine | |
fracture fragility | all | |
Number of postmenopausal patients | 9 (31.0 %) | |
Underlying disease (n) | ||
systemic lupus erythematosus | 16 (55.2 %) | |
rheumatoid arthritis | 6 (20.7 %) | |
dermetomyoisitis/polymyositis | 2 (6.9 %) | |
Behçet disease | 1 (3.4 %) | |
Sjögren syndrome | 1 (3.4 %) | |
renal diseases | 3 (10.4 %) | |
Disease duration (years) | 17.4 ± 9.3 | |
Initial GC dose (mg/day) | 147.2 ± 235.6 | |
Current GC dose (mg/day) | 7.4 ± 5.4 | |
<5 | 6 (20.7 %) | |
5- 7.5 | 10 (34.5 %) | |
≥7.5 | 13 (44.8 %) | |
GC duration (years) | 17.4 ± 9.3 | |
Pre-denosumab treatment | ||
Bisphosphonate | 18 (62.1 %) | |
Vitamin D | 20 (69.0 %) | |
Vitamin K | 2 (6.9 %) | |
Fracture risk factor score | 6.4 ± 2.2 | |
BMD, YAM (%) | ||
Lumbar spine | 91.5 ± 23.9 | |
<70 | 2 (6.9 %) | |
70- 80 | 10 (34.5 %) | |
≥80 | 17 (58.6 %) | |
Femoral neck | 86.4 ± 22.2 | |
<70 | 4 (13.8 %) | |
70-80 | 5 (17.2 %) | |
≥80 | 20 (29.0 %) | |
Bone turnover markers | ||
serum NTX (nmol BCE/L) | 19.2 ± 10.6 | |
serum BAP (U/L) | 12.1 ± 6.5 |
Data are the mean ± standard deviation.
*Scores for the categories of each fracture predictor [4].
Prior fragility fractures: No = 0, Yes = 7
Age (years): <50 = 0, 50- 65 = 2, ≥65 = 4
GC dose (PSL equivalent mg/day): <5 = 0, 5-7.5 = 1, ≥7.5 = 4
Lumbar BMD (%YAM): ≥80 = 0, 70-80 = 2, <70 = 4
BAP: bone-specific alkaline phosphatase, BMD: bone mineral density, GC: glucocorticoid, NTX: N-terminal cross-linked telopeptide of type 1 collagen, PSL: prednisolone, YAM: young adult mean