Journal List > J Korean Soc Transplant > v.25(4) > 1034349

Lee and Shin: Post-transplantation Osteoporosis

Abstract

Transplantation has become an established treatment in many end-stage organ diseases and hematologic diseases. The survival rate after transplantation has greatly improved due to the development of newer immunosuppressive drugs bringing the issues of post-transplantation complications to light. Osteoporosis and osteoporosis-related fragility fractures are feared complications, greatly influencing the quality of life in transplant patients. In addition to the conventional risk factors for osteoporosis, post-transplantation osteoporosis is caused by factors related to end-stage organ disease prior to transplantation and immunosuppressive therapy after transplantation. Since the rate of bone loss in post-transplantation osteoporosis is thought to be at the greatest immediately following transplantation, early measures need to be taken to prevent and treat post-transplantation osteoporosis. Both conventional and newer therapeutics for osteoporosis are largely being studied and used in practice for the prevention and treatment of post-transplantation osteoporosis.

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Fig. 1.
Mechanisms of post-transplant bone loss. (A) Early post-transplant bone loss, (B) late post-transplant bone loss. Adapted from Fig. 1 of reference [33].
jkstn-25-239f1.tif
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