[Three-dimensional planing and correction of osteotomies in the forearm and the hand].

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Abstract

[Indexed for MEDLINE] 16. Br J Dermatol. 2017 May;176(5):1162-1169. doi: 10.1111/bjd.15123. Epub 2017 Mar 15. Psoriasis, fracture risk and bone mineral density: the HUNT Study, Norway. Modalsli EH(1)(2), Åsvold BO(1)(3), Romundstad PR(1), Langhammer A(1), Hoff M(1)(4)(5), Forsmo S(1), Naldi L(6)(7), Saunes M(2)(8). Author information: (1)Department of Public Health and General Practice, Faculty of Medicine, NTNU, Norwegian University of Science and Technology, Trondheim, Norway. (2)Department of Dermatology, St. Olavs Hospital, Trondheim University Hospital, Norway. (3)Department of Endocrinology, St. Olavs Hospital, Trondheim University Hospital, Norway. (4)Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway. (5)Nord-Trøndelag Hospital Trust, Levanger, Norway. (6)Centro Studi Gruppo Italiano Studi Epidemiologici in Dermatologia (GISED), Bergamo, Italy. (7)Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy. (8)Department of Cancer Research and Molecular Medicine, Faculty of Medicine, NTNU, Norwegian University of Science and Technology, Trondheim, Norway. Comment in Br J Dermatol. 2017 May;176(5):1117-1118. doi: 10.1111/bjd.15437. BACKGROUND: An association between psoriasis and osteoporosis has been reported. OBJECTIVES: To investigate, in a large prospective population-based Norwegian study, whether psoriasis is associated with increased risk of forearm or hip fracture; to investigate the cross-sectional association between psoriasis and bone mineral density (BMD) T-score in a subpopulation. METHODS: Hospital-derived fracture data from Nord-Trøndelag County (1995-2013) were linked to psoriasis information, BMD measurements and lifestyle factors from the third survey of the Nord-Trøndelag Health Study 2006-08 (HUNT3); socioeconomic data from the National Education Database; and use of medication from the Norwegian Prescription Database. RESULTS: Among 48 194 participants in HUNT3, we found no increased risk of forearm or hip fracture in 2804 patients with self-reported psoriasis [overall age- and sex-adjusted hazard ratio 1·03, 95% confidence interval (CI) 0·82-1·31]. No clear association was found between psoriasis and mean BMD T-score; overall age- and sex-adjusted differences in total hip, femoral neck and lumbar spine BMD T-scores were 0·02 (95% CI -0·11 to 0·14), 0·05 (95% CI -0·06 to 0·17) and 0·07 (95% CI -0·09 to 0·24), respectively. No clear association was found between psoriasis and prevalent osteoporosis in either total hip, femoral neck or lumbar spine; overall age- and sex-adjusted odds ratio was 0·77 (95% CI 0·54-1·10). Associations did not change substantially after adjustment for education, smoking, systemic steroid use and body mass index. CONCLUSIONS: We found no association between psoriasis and risk of fracture. The study did not indicate reduced BMD T-score or higher prevalence of osteoporosis among patients with psoriasis. © 2016 The Authors. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists. DOI: 10.1111/bjd.15123