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2023 | OriginalPaper | Hoofdstuk

12. Osteoporotische inzakkingsfractuur bij een polymyalgia rheumaticapatiënt die langdurig behandeld wordt met prednison

Auteur : Koos van Nugteren

Gepubliceerd in: Reumatische gewrichtsaandoeningen

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Dit hoofdstuk beschrijft een patiënt met een polymyalgia reumatica (spierreuma) die, om deze auto-immuunaandoening te onderdrukken, al jaren corticosteroïden gebruikt. Het hoofdstuk beschrijft de casus en een aantal letsels die het gevolg zijn van langdurig corticosteroïdgebruik. Naast diverse peesrupturen is er speciale aandacht voor de spontane osteoporotische wervelinzakking. De bespreking gaat dieper in op de aandoening ‘polymyalgia rheumatica’ en op de nadelige effecten die corticosteroïden hebben op het bewegingsapparaat.
Voetnoten
1
Arousal = Prikkeling, ophitsing, opwekking.
 
2
CHR = Corticotropine releasing hormoon.
 
3
ACTH = Adrenocorticotroop hormoon.
 
4
In het bijnierschors worden twee belangrijke corticosteroïden aangemaakt: corticosteron en het vijfmaal zo actieve cortisol.
 
5
Aneurysma = plaatselijke verwijding en later uitbochting van een bloedvat.
 
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Metagegevens
Titel
Osteoporotische inzakkingsfractuur bij een polymyalgia rheumaticapatiënt die langdurig behandeld wordt met prednison
Auteur
Koos van Nugteren
Copyright
2023
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2888-8_12