Polyarthritis following infusion of zoledronic acid: a case study

Objective: Osteoporosis is a skeletal disorder characterized by compromised bone strength which predisposes one to the development of fragility fractures. Bisphosphonates are the most commonly used medications for the treatment of osteoporosis. Zoledronic acid is a popular bisphosphonate due to its...

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Main Author: T. Campbell
Format: Article
Language:English
Published: Verduci Editore 2023-07-01
Series:Beyond Rheumatology
Subjects:
Online Access:https://www.beyond-rheumatology.org/wp-content/uploads/sites/10/2023/07/e481.pdf
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author T. Campbell
author_facet T. Campbell
author_sort T. Campbell
collection DOAJ
description Objective: Osteoporosis is a skeletal disorder characterized by compromised bone strength which predisposes one to the development of fragility fractures. Bisphosphonates are the most commonly used medications for the treatment of osteoporosis. Zoledronic acid is a popular bisphosphonate due to its convenience and efficacy. The most common side effects of zoledronic acid include pyrexia, myalgia, arthralgia, headache, and flu-like symptoms. More severe side effects such as arthritis are rarely reported. The current case describes a patient with underlying osteoarthritis who experienced polyarthritis following an infusion with zoledronic acid. Case Presentation: A case of a 68-year-old female with osteoporosis on a background of osteoarthritis who experienced polyarthritis after receiving an intravenous zoledronate infusion is reported. Though this is a rare phenomenon, a review of the literature suggests that patients with pre-existing osteoarthritis may be more likely to develop arthritis after bisphosphonate exposure. Conclusions: The current case, therefore, highlights the importance of discussions with patients around additional side effects of zoledronic acid, especially in those with underlying degenerative arthritis.
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spelling doaj.art-c9f92cc717f94a1892631e60e0096d942023-07-25T08:53:03ZengVerduci EditoreBeyond Rheumatology2612-51102023-07-01510.53238/br_20237_481481Polyarthritis following infusion of zoledronic acid: a case studyT. Campbell0Department of Medicine, Division of Rheumatology, University of Calgary, Calgary, Alberta, CanadaObjective: Osteoporosis is a skeletal disorder characterized by compromised bone strength which predisposes one to the development of fragility fractures. Bisphosphonates are the most commonly used medications for the treatment of osteoporosis. Zoledronic acid is a popular bisphosphonate due to its convenience and efficacy. The most common side effects of zoledronic acid include pyrexia, myalgia, arthralgia, headache, and flu-like symptoms. More severe side effects such as arthritis are rarely reported. The current case describes a patient with underlying osteoarthritis who experienced polyarthritis following an infusion with zoledronic acid. Case Presentation: A case of a 68-year-old female with osteoporosis on a background of osteoarthritis who experienced polyarthritis after receiving an intravenous zoledronate infusion is reported. Though this is a rare phenomenon, a review of the literature suggests that patients with pre-existing osteoarthritis may be more likely to develop arthritis after bisphosphonate exposure. Conclusions: The current case, therefore, highlights the importance of discussions with patients around additional side effects of zoledronic acid, especially in those with underlying degenerative arthritis.https://www.beyond-rheumatology.org/wp-content/uploads/sites/10/2023/07/e481.pdfzoledronatebisphosphonatepolyarthritis
spellingShingle T. Campbell
Polyarthritis following infusion of zoledronic acid: a case study
Beyond Rheumatology
zoledronate
bisphosphonate
polyarthritis
title Polyarthritis following infusion of zoledronic acid: a case study
title_full Polyarthritis following infusion of zoledronic acid: a case study
title_fullStr Polyarthritis following infusion of zoledronic acid: a case study
title_full_unstemmed Polyarthritis following infusion of zoledronic acid: a case study
title_short Polyarthritis following infusion of zoledronic acid: a case study
title_sort polyarthritis following infusion of zoledronic acid a case study
topic zoledronate
bisphosphonate
polyarthritis
url https://www.beyond-rheumatology.org/wp-content/uploads/sites/10/2023/07/e481.pdf
work_keys_str_mv AT tcampbell polyarthritisfollowinginfusionofzoledronicacidacasestudy