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Bone mineral density and serum osteocalcin levels in patients with gout

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dc.creator Dogru, Atalay
dc.creator Balkarli, Ayse
dc.creator Karatay, Cemile Canan
dc.creator Cobankara, Veli
dc.creator ŞAHİN, Mehmet
dc.date 2019-07-03T21:00:00Z
dc.date.accessioned 2020-10-06T10:49:03Z
dc.date.available 2020-10-06T10:49:03Z
dc.identifier 939337fb-c686-40c4-a258-11259d63d7eb
dc.identifier 10.1080/17843286.2018.1495389
dc.identifier https://avesis.sdu.edu.tr/publication/details/939337fb-c686-40c4-a258-11259d63d7eb/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/66629
dc.description Objective: The objective of the study is to evaluate the relation of gout with osteoporosis and serum osteocalcin (OC) levels. Material and methods: Seventy-five patients diagnosed with gout and 55 controls were included in the study. Comorbid conditions and drugs associated with osteoporosis were excluded. The T and Z scores from lumbar spine (L2-L4) and femur (neck, ward, trochanter, total) were determined by dual-energy X-ray absorptiometry (DXA). OC levels were measured by enzyme-linked immunosorbent assay. Results: Osteoporosis according to T scores of lumbar vertebrae L2-L4 was found to be significantly higher in patients with gout compared to the control group (p = 0.02). Lumbar spine T-score was -1.6 in gout group and -1.0 in controls. OC level was 7.9 ng/mL in the gout group and 18.9 ng/mL in the control group. There was a significant difference (p < 0.001). In addition, mean OC level was 12.4 +/- 6.9 ng/mL in the patients diagnosed with osteoporosis and 17.2 +/- 10.6 ng/mL in the patients that were classified as normal and a significant difference was established between the two groups (p = 0.03). A significant negative correlation was found between OC level and body mass index, age, and age at first attack. Similarly, femoral T-score established a negative correlation with parathyroid hormone, age, age at first attack, and allopurinol dose. Conclusion: Serum OC level can be a useful marker in the assessment of bone turnover and clinicians should keep osteoporosis in mind in gout patients.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Bone mineral density and serum osteocalcin levels in patients with gout
dc.type info:eu-repo/semantics/article


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