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Journal of Osteoporosis
Volume 2011, Article ID 106380, 6 pages
http://dx.doi.org/10.4061/2011/106380
Research Article

Evaluation of Osteoporosis in Hemophilic Arthropathy Patients: Correlation with Disease Severity and Serum Trace Minerals

1Rheumatology and Rehabilitation Department, Ain Shams University, Cairo 11566, Egypt
2Internal Medicine Department (Hematology Unit), Ain Shams University, Cairo 11566, Egypt

Received 27 November 2010; Revised 8 April 2011; Accepted 10 August 2011

Academic Editor: Pawel Szulc

Copyright © 2011 Eiman Mahmoud Ghaniema et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To find out the presence of osteoporosis in hemophilic arthropathy patients and its correlation with clinical severity and serum levels of magnesium, copper, and zinc. Methods. Joint score, functional assessment score, bone densitometry, and serum magnesium, copper and zinc were done in twenty male hemophilic arthropathy patients and twenty controls. Results. There was highly significant lower Z scores of lumbar spine and neck of femur in patients versus controls ( 𝑃 < 0 . 0 1 1 ). Z score of neck of femur correlated negatively with total joint score ( 𝑃 = 0 . 0 1 3 ) and functional assessment score ( 𝑃 = 0 . 0 1 1 ). Serum levels of copper and zinc correlated positively with Z score of neck of femur ( 𝑃 = 0 . 0 0 4 , 𝑃 = 0 . 0 0 1 , resp.). Conclusion. Osteoporosis represents a frequent concomitant observation in hemophiliacs. Screening of young hemophiliacs for osteoporosis is recommended with measuring serum levels of magnesium, copper, and zinc for better management of the disease.