Journals / Türk Osteoporoz Dergisi / 2018 / Cilt: 24 - Sayı: 2

Pathological Femoral Fracture due to Osteoporosis and Hypophosphatemic Osteomalacia Following Adefovir Therapy in a Patient with Chronic Hepatitis B

Kronik Hepatit B’li Hastada Adefovir Tedavisi Sonrası Gelişen Osteoporoz ve Hipofosfatemik Osteomalaziye Bağlı Patolojik Femur Kırığı

Pages
59–62
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We aimed to report a 55-year-old male patient with proximal femur fracture who developed hypophosphatemic osteomalacia while using low dose of adefovir (10 mg/day) for chronic hepatitis B treatment for 10 years.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Adefovir dipivoxil (ADV) is a nucleotide analogue used in the chronic hepatitis B treatment.
📊
Key Findings & Data:Proximal renal tubular dysfunction is one of the adverse effects of this agent and characterized with hypophosphatemia and osteomalacia.
💡
Conclusion & Impact:We aimed to report a 55-year-old male patient with proximal femur fracture who developed hypophosphatemic osteomalacia while using low dose of adefovir (10 mg/day) for chronic hepatitis B treatment for 10 years.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Adefovir dipivoxil (ADV) is a nucleotide analogue used in the chronic hepatitis B treatment. Proximal renal tubular dysfunction is one of the adverse effects of this agent and characterized with hypophosphatemia and osteomalacia. However, reduced bone mineral density with fracture due to ADV therapy has not been reported before. We aimed to report a 55-year-old male patient with proximal femur fracture who developed hypophosphatemic osteomalacia while using low dose of adefovir (10 mg/day) for chronic hepatitis B treatment for 10 years.

Özet

Adefovir dipivoksil (ADV), kronik hepatit tedavisinde kullanılan bir nükleotid analoğudur. Proksimal renal tübüler fonksiyon bozukluğu, bu ajanın yan etkilerinden biridir ve hipofosfatemi ve osteomalazi ile karakterizedir. Bununla birlikte, ADV tedavisine bağlı kırık ile kemik mineral dansitesinde azalma daha önce bildirilmemiştir. Burada 10 yıldır kronik hepatit B tedavisi için düşük dozda adefovir kullanan (10 mg/gün) 55 yaşındaki erkek hastada hipofosfatemik osteomalazi sonucu gelişen proksimal femur kırığı olan bir hastayı bildirmeyi amaçladık.

🔖

Cite This Article

KÜLCÜ, D. G., ŞAHİN, Z., MESCİ, N., BATIBAY, S., RUHİ, B. Ç., GÜNDOĞDU, H. (2022). Pathological Femoral Fracture due to Osteoporosis and Hypophosphatemic Osteomalacia Following Adefovir Therapy in a Patient with Chronic Hepatitis B. Türk Osteoporoz Dergisi, Cilt: 24 - Sayı: 2, 59–62. https://ajindex.com/articles/639693

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. References 1. Izzedine H, Hulot JS, Launay-Vacher V, Launay-vacher V, Marcellini P, Hadziyanni SJ, et al. Renal safety of adefovir dipivoxil in patients with chronic hepatitis B: two double-blind, randomized, placebo-controlled studies. Kidney Int 2004
  2. Fontana RJ. Side effect of long-term oral antiviral therapy for hepatitis B. Hepatology 2009
  3. 49(Suppl 5):185-95. 3. Girgis CM, Wong T, Ngu MC, Emmet L, Archer KA, Chen RC, et al. Hypophosphatemic osteomalacia in patients on adefovir dipivoxil. J Clin Gastroenterol 2011
  4. Jeong HJ, Lee JM, Lee JY, Kim HB, Heo MH, Choi MH, et al. Two cases of hypophosphatemic osteomalacia after long-term low dose adefovir therapy in chronic hepatitis B and literature review. J Bone Metab 2014
  5. Jung YK, Yeon JE, Choi JH, Kim CH, Jung ES, Kim JH, et al. Fanconi’s syndrome associated with prolonged adefovir dipivoxil therapy in a hepatitis B virus patient. Gut and Liver 2010
  6. Eguchi H, Tsuruta M, Tani J, Kuwahara R, Hiromatsu Y. Hypophosphatemic osteomalacia due to drug-induced fanconi’s syndrome associated with adefovir dipivoxil treatment for hepatitis B. Intern Med 2014
  7. Wu C, Zhang H, Qian Y, Wang L, Gu X, Dai Z. Hypophosphatemic osteomalacia and renal fanconi syndrome induced by low-dose adefovir dipivoxil: a case report and literatüre review suggesting ethnic predisposition. J Clin Pharm Ther 2013
  8. Tanaka M, Setoguchi T, Ishidou Y, Arishima Y, Hirotsu M, Saitoh Y, et al. Pathological femoral fractures due to osteomalacia associated with adefovir dipivoxil treatment for hepatitis B: a case report. Diagn Pathol 2012
  9. Poh F, Sing BWHS, Mohan PC. Insufficiency fractures related to low-dose adefovir dipivoxil treatment for chronic hepatitis B. Med J Malaysia 2015
  10. Vigano M, Lampertico P, Colombo M. Drug safety evaluation of adefovir in HBV infection. Expert Opin Drug Saf 2011
  11. Tanji N, Tanji K, Kambham N, Markowitz GS, Bell A, D’agati VD. Adefovir nephrotoxicity: possible role of mitochondrial DNA depletion. Hum Pathol 2001
  12. Kim HD, Sung HD, Min KY. Hypophosphatemic osteomalacia induced by low-dose adefovir therapy: focus on manifestations in the skeletal system and literature review. J Bone Miner Metab 2013
  13. Chen N, Zhang JB, Zhang Q, Zhao YP, Li LY, Liu LW, et al. Adefovir dipivoxil induced hypophosphatemic osteomalacia in chronic hepatitis B: comparative study of Chinese and foreign case seri