Flare-up of hand osteoarthritis caused by zoledronic acid infusion

作者:Werner de Castro G R; Neves F S; de Magalhaes Souza Fialho S C; Pereira I A; Ribeiro G; Zimmermann A F
来源:Osteoporosis International, 2010, 21(9): 1617-1619.
DOI:10.1007/s00198-009-1123-7

摘要

Zoledronic acid is effective for osteoporosis at a single annual intravenous dose. It usually causes few adverse effects; the most common are related to acute phase reactions. We reported the case of a 64-year-old woman who presented flare-up of hand osteoarthritis after zoledronic acid infusions. Despite the fact that arthralgia is a common side effect of intravenous bisphosphonates, development of inflammatory signs in osteoarthritic joints is a rare event. We hypothesized that this side effect is caused by a release of cytokines secondary to activation of gamma-delta T lymphocytes.

  • 出版日期2010-9

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