Division of Endocrinology and Metabolism, McMaster University, 223 - 3075 Hospital Gate, Oakville, Ontario L6M 1M1, Canada.
Division of Endocrinology and Metabolism, McMaster University, 223 - 3075 Hospital Gate, Oakville, Ontario L6M 1M1, Canada.
Endocrinol Metab Clin North Am. 2024 Dec;53(4):607-618. doi: 10.1016/j.ecl.2024.08.007.
Anti-osteoporosis treatments reduce fracture risk but maybe associated with rare adverse events with long-term use such as atypical femoral fractures (AFFs) and medication-related osteonecrosis of the jaw (MRONJ). AFFs are rare but more likely with prolonged bisphosphonate use, whereas MRONJ incidence is higher in cancer patients on high-dose antiresorptive therapy. Following diagnosis, effective treatment options are available to manage both of these rare complications. An individualized treatment approach is advised with close monitoring.
抗骨质疏松治疗可降低骨折风险,但长期使用可能会出现一些罕见的不良反应,如非典型股骨骨折(AFF)和药物相关性颌骨坏死(MRONJ)。AFF 较为罕见,但与延长双膦酸盐的使用时间有关,而高剂量抗吸收治疗的癌症患者中 MRONJ 的发病率更高。诊断后,可采用有效的治疗方案来治疗这两种罕见的并发症。建议采用个体化的治疗方法,并密切监测。