Osteopenia is a pathology characterized by low bone mass in a particular age.
A child with juvenile rheumatoid arthritis is in the group of high risk, nedostaje adequate bone mass in postpubertatne period. Introduction dual-energy x-ray absorptiometry allowed us to assess the degree of osteopenia in these children led to the realization of the scale of the problem. When this disease affects the peripheral skeleton, and trabecular bone of the spine, but the first in more. Osteopenia in children is correlated with activity of the disease and its severity. Other associated factors are reduced physical activity, immobility, reduced sun exposure and decreased calcium intake and vitamin D from food. It is known that peak bone mass is usually achieved in adolescence, which is important to minimize the risk of osteoporosis and fractures in the future. Often in juvenile rheumatoid arthritis bone density in puberty does not reach the anticipated increase. In patients with severe polyarthritis discovered osteopenic axial lumbar spine and femoral neck. In a two-year prospective controlled study of early juvenile idiopathic arthritis, including JRA, psoriatic arthritis and ankylosing spondylitis, there was a slight reduction in the increase of bone mass, bone remodeling, and total lean mass.
The treatment of this disease is quite complicated. It can heal not in every clinic. If you are not satisfied with the results, you should pay attention to the treatment in Israel, for example on the company Adar medical. The details can be found on its website adarmedic.ru.
Therapy osteopenia in children includes strengthening exercises, proper nutrition, calcium and vitamin D as well, and this is key, sufficient suppression of disease activity (systemic inflammation). In his early works demonstrated the effectiveness of bisphosphonates, although their use had adverse effects. To increase consumption of dietary calcium may be recommended for active learning. In addition to General osteopenia in the affected joints in the early stages are defined areas of subchondral demineralization. Regular monitoring is recommended densitometry.