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Article << Previous     |     Next >>   Contents Vol 8(4)

HIV infection and bone disease: implications for an aging population

Aoife G. Cotter A B C and Patrick W. G. Mallon A B

A HIV Molecular Research Group, School of Medicine & Medical Science, University College Dublin 7, Ireland.
B Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland.
C Corresponding author. Email: Aoife.cotter@ucdconnect.ie

Sexual Health 8(4) 493-501 http://dx.doi.org/10.1071/SH11014
Submitted: 4 February 2011  Accepted: 27 June 2011   Published: 30 September 2011


 
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Abstract

Now more than ever, the management of age-related problems, from cardiovascular morbidity to bone pathology, is increasingly relevant for HIV physicians. Low bone mineral density (BMD) and fractures are more common in HIV-infected patients. Although a multifactorial aetiology underlies this condition, increasing evidence suggests a role for antiretroviral therapy in low BMD, especially upon initiation. This review will detail the epidemiology, pathogenesis, diagnosis and management of osteoporosis and low BMD in HIV-infected patients, with particular emphasis on aging.

Additional keywords: antiretroviral therapy, bone mineral density, osteopaenia, osteoporosis.


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