Enfermedad ósea de Paget, osteomalacia y sarcopenia

  1. Pino Montes, Javier del
  2. Corral Gudino, Luis
  3. Sánchez, M. D.
  4. Calero Paniagua, Ismael
  5. Carranco Medina, Tatiana Elizabeth
  6. Quesada Moreno, Alba
Zeitschrift:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Datum der Publikation: 2014

Titel der Ausgabe: Enfermedades óseas: Enfermedades óseas

Serie: 11

Nummer: 60

Seiten: 3555-3566

Art: Artikel

DOI: 10.1016/S0304-5412(14)70814-5 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Medicine: Programa de Formación Médica Continuada Acreditado

Zusammenfassung

Paget �s disease of bone is a focal disorder with increased osteoclast activity and accelerated bone remodeling. The resulting bone is abnormal, highly vascularized, disorganized and diminished strength. It may be asymptomatic; its main manifestations are deformity, fracture and bone pain. You can add secondary arthropathies to deformity and compression neuropathies. Diagnosis is based on clinical, radiology and elevated alkaline phosphatase. Bisphosphonates normalize bone metabolic activity. Osteomalacia is a disturbance of bone mineralization in the mature adult. The most common causes are vitamin D deficiency and congenital or acquired disorders of metabolism. The clinical symptoms include bone pain, muscle weakness and, rarely, tetany. Treatment involves correcting the vitamin deficiency. It is known as sarcopenia progressive reduction in muscle mass and strength that is often observed in the elderly. It is associated with frailty, limited mobility, increased risk of falls and fractures, and increased mortality. Treatment is primarily preventive physical exercise and proper nutrition.

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