Osteoporosis in HIV-infected patients

Richard Groger, Erin Quirk, William G. Powderly

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Bone disorders have emerged in the last 5 yr as additional long-term complications of human immunodeficiency virus (HIV) infection and its treatment. In particular, multiple studies suggest that HIV-infected patients receiving potent antiretroviral therapy have an increased prevalence of both osteopenia and osteoporosis. Studies prior to the era of potent antiretroviral therapy suggest that HIV infection has a modest effect on bone turnover. Treatment of HIV increases bone turnover with a greater effect on bone resorption. The mechanisms for increased bone demineralization in HIV-infected patients are unclear, although there is some evidence that specific drugs may inhibit bone formation in vitro. Small studies suggest that, in general, bone loss is not progressive over a short period of follow-up, and that the bisphosphonates may be useful in management; however, larger studies are needed to confirm these findings and assess the long-term implications of bone loss in HIV-infected persons.

Original languageEnglish
Pages (from-to)167-173
Number of pages7
JournalClinical Reviews in Bone and Mineral Metabolism
Volume2
Issue number2
DOIs
StatePublished - Aug 30 2004

Keywords

  • Bone
  • Bone density
  • HIV
  • Osteoporosis
  • Protease inhibitors

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