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USING QCT TO DETECT DRUG-INDUCED OSTEOPOROSIS IN PATIENTS WITH MENTAL DISORDERS

https://doi.org/10.22328/2079-5343-2019-10-3-77-85

Abstract

In clinical practice, the assessment of the cumulative risk of drug-induced osteoporosis in patients with mental disorders is difficult because there are no algorithms to reveal patients with a high risk of antipsychotic-induced osteoporosis and BMD is not evaluated in patients with mental disorders. 95 patients aged from 21 to 60 years with a mental illness duration of at least 12 months on antipsychotics and anticonvulsants therapy were examined. 23 patients (24%) had shown a violation of BMD. There is a significant correlation between the number of risk factors and a decrease in BMD. However, additional study of pharmacogenetic and laboratory data on the risk of osteoporosis is required, which will make it possible to plan therapy more precisely, additionally prescribe drugs that regulate BMD in these categories of patients.

About the Authors

N. I. Ananyeva
Bekhterev National Medical Research Center of Psychiatry and Neurology; Scientific and clinical educational centre «Medical Radiology and Nuclear Medicine» St. Petersburg State University
Russian Federation


S. E. Likhonosova
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation


N. G. Neznanov
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation


G. E. Mazo
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation


R. F. Nasyrova
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation


N. F. Shnayder
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation


L. V. Lipatova
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation


K. V. Rybakova
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation


L. V. Malyshko
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation


F. Sh. Gadgieva
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation


Yu. V. Kocyubinskaya
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation


E. V. Andreev
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation


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For citations:


Ananyeva N.I., Likhonosova S.E., Neznanov N.G., Mazo G.E., Nasyrova R.F., Shnayder N.F., Lipatova L.V., Rybakova K.V., Malyshko L.V., Gadgieva F.Sh., Kocyubinskaya Yu.V., Andreev E.V. USING QCT TO DETECT DRUG-INDUCED OSTEOPOROSIS IN PATIENTS WITH MENTAL DISORDERS. Diagnostic radiology and radiotherapy. 2019;(3):77-86. (In Russ.) https://doi.org/10.22328/2079-5343-2019-10-3-77-85

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