Retrospective Comparison of the Effect of IL-17 Blocker Therapy and Anti-TNF Agent Therapy on Bone Mineral Density in Axial Spondyloartropathy Patients

Autor: Nur Ferhatlar, Esma Demirhan, Selcen Kanyılmaz, Sevgi Atar, Ömer Kuru
Jazyk: English<br />Turkish
Rok vydání: 2023
Předmět:
Zdroj: Türk Osteoporoz Dergisi, Vol 29, Iss 2, Pp 84-88 (2023)
Druh dokumentu: article
ISSN: 2147-2653
DOI: 10.4274/tod.galenos.2022.90277
Popis: Objective:Our aim was to compare the bone mineral density (BMD) levels in axial spondyloarthropathy (AxSpA) patients treated with tumor necrosis factor-α (TNFα) agents and interleukin-17 (IL-17) blockers.Materials and Methods:This retrospective study was approved by the local ethics committee (07/01/2020, 7). We evaluated the medical records of AxSpA patients treated with either anti-TNFα or IL-17 blocker. Sixty-six patients with two consecutive dual energy X-ray absorptionmetry measurements (baseline and year one) were included. Twenty-seven patients were receiving anti-TNFα and 39 patients were receiving IL-17 blocker treatment. Outcome measures were compared between the IL-17 blocker and anti-TNFα agent treatment groups.Results:Sixty-two percent of the patients were male and 38% were female. The mean lumbar region (L1-L4) BMD value of the patients was 1.19±0.15 gr/cm2 and the mean femoral neck BMD value was 0.95±0.13 gr/cm2 at baseline (p>0.05). A statistically significant increase in BMD values in the lumbar region (L1-L4, L2-L4), femoral neck and femur total was detected at the end of one year observation in patients using both anti-TNF and IL-17 blockers (p
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