ホシノ ジユンイチ   HOSHINO Junichi
  星野 純一
   所属   医学部 医学科(東京女子医科大学病院)
   職種   教授・基幹分野長
論文種別 原著
言語種別 英語
査読の有無 査読なし
表題 テリパラチド治療後の低ホスファターゼ血症関連骨粗鬆症の骨組織形態学的解析(A Bone Histomorphometric Analysis of Hypophosphatasia-related Osteoporosis after Teriparatide Treatment)
掲載誌名 正式名:Internal medicine
略  称:Intern Med
ISSNコード:09182918/13497235
掲載区分国外
出版社 (一社)日本内科学会
巻・号・頁 62(1),pp.75-79
著者・共著者 Mizuno Hiroki, Sawa Naoki, Sekine Akinari, Inoue Noriko, Oba Yuki, Ikuma Daisuke, Yamanouchi Masayuki, Hasegawa Eiko, Suwabe Tatsuya, Suzuki Hisanori, Hoshino Junichi, Ubara Yoshifumi
発行年月 2023/01/01
概要 A 79-year-old man was admitted with a compression fracture of the first lumbar vertebra. His alkaline phosphatase (ALP) level was 35 IU/L, and his dual energy X-ray absorptiometry T score was -3.7 standard deviations, indicating osteoporosis. A genetic analysis showed a mutation of the alkaline phosphatase biomineralization-associated gene encoding tissue-nonspecific alkaline phosphatase. Hypophosphatasia-related osteoporosis was diagnosed. Alendronate, teriparatide, and minodronate were administered in that order. The ALP level increased during teriparatide use. A bone biopsy performed after three years of teriparatide treatment showed that cancellous bone was adynamic. In cortical bone, tetracycline double-labeling indicates enhanced bone formation. Teriparatide may thus be a viable treatment option even in patients with hypophosphatasia.
DOI 10.2169/internalmedicine.9624-22
文献番号 2024036556
PMID 35650135