Current Rheumatology Reports

, Volume 12, Issue 3, pp 163–169

Bone Changes and Fracture Risk in Individuals Infected With HIV

Article

DOI: 10.1007/s11926-010-0099-9

Cite this article as:
Warriner, A.H. & Mugavero, M.J. Curr Rheumatol Rep (2010) 12: 163. doi:10.1007/s11926-010-0099-9

Abstract

The life expectancy of individuals infected with HIV has improved greatly since the institution of combination antiretroviral therapy. However, many metabolic derangements have been discovered with long-term combination antiretroviral treatment, including lipodystrophy; insulin resistance; and, more recently, abnormal bone metabolism. It is well-documented that bone mineral density (BMD) in HIV-positive patients is lower compared with the expected BMD in non–HIV-positive patients. The underlying cause of lower BMD is unknown but is thought to be a multifactorial process. Conflicting evidence exists regarding the effect of antiretroviral exposure and duration of treatment, antiretroviral type, and cumulative HIV viral exposure on bone health. Here we review the bone changes that occur with HIV infection and treatment.

Keywords

HIV Bone Osteoporosis Antiretrovirals 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Division of Endocrinology, Metabolism, and DiabetesUniversity of Alabama at BirminghamBirminghamUSA

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