Schiefke I, Fach A, Wiedmann M, Aretin AV, Schenker E, Borte G, Wiese M, Moessner J. Reduced bone mineral density and altered bone turnover markers in patients with non-cirrhotic chronic hepatitis B or C infection. World J Gastroenterol 2005; 11(12): 1843-1847 [PMID: 15793878 DOI: 10.3748/wjg.v11.i12.1843]
Corresponding Author of This Article
Ingolf Schiefke, M.D., Department of Medicine II, University of Leipzig, Philipp-Rosenthal Str. 27, 04103 Leipzig, Germany. schi@medizin.uni-leipzig.de
Article-Type of This Article
Brief Reports
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Table 2 Characteristics of bone metabolism in patients with chronic viral liver disease.
Parameter
All patients (n = 43)
Hepatitis B (n = 13)
Hepatitis C (n = 30)
AlkPhos (mmol/L s)
2.95 (1.32–10.87)
2.39 (1.96–6.67)
2.98 (1.32–10.87)
BALP (mmol/L s)
1.69 (0.76–3.89)
1.52 (0.76–2.94)
1.51 (0.76–3.89)
iPTH (pmol/L)
2.57 (1.35–5.96)
2.59 (1.35–5.96)
2.69 (1.45–5.38)
25 (OH)D3 (pg/mL)
27.4 (11.9–65.7)
27.40 (15.40–60.20)
28.05 (11.90–65.70)
1,25 (OH)2D3 (pg/mL)
38.7 (10.0–86.8)
41.40 (21.50–60.7)
38.20 (10.00–86.80)
Phosphate (mmol/L)
1.08 (0.57–1.43)
0.95 (0.57–1.15)
1.09 (0.67–1.43)
Ca (mmol/L)
2.43 (2.17–2.58)
2.44 (2.22–2.58)
2.39 (2.17–2.57)
iCa (mmol/L)
1.23 (0.99–1.34)
1.22 (1.12–1.29)
1.25 (0.99–1.34)
PD/UCr (pmol/µmoL)
58.0 (30.0–235.0)
59.0 (30.0–102.0)
57.00 (34.00–235.00)
DPD/UCr (pmol/mmoL)
13.3 (6.3–50.5)
10.6 (6.3–26.7)
13.85 (6.4–50.5)
Table 3 Correlation of liver histology (staging) with bone markers in patients with chronic hepatitis B or C.
Parameter
r
P
iPTH
0.523
0.001
25 (OH)D3
–0.025
0.878
1,25 (OH)2D3
0.006
0.973
Phosphate
–0.033
0.841
iCa
–0.215
0.188
BALP
0.469
0.001
Table 4 Correlation of BMD femoral neck with bone markers and vitamin D in patients with chronic viral hepatitis.
Parameter
r
P
iPTH
0.325
0.02
25 (OH)D3
0.282
0.067
1,25 (OH)2D3
–0.071
0.649
Phosphate
–0.204
0.057
iCa
0.022
0.888
BALP
–0.082
0.599
Citation: Schiefke I, Fach A, Wiedmann M, Aretin AV, Schenker E, Borte G, Wiese M, Moessner J. Reduced bone mineral density and altered bone turnover markers in patients with non-cirrhotic chronic hepatitis B or C infection. World J Gastroenterol 2005; 11(12): 1843-1847