Metabolic and Clinical Consequences of Hyperthyroidism on Bone Density

In 1891, Von Recklinghausen first established the association between the development of osteoporosis in the presence of overt hyperthyroidism. Subsequent reports have demonstrated that BMD loss is common in frank hyperthyroidism, and, to a lesser extent, in subclinical presentations. With the intro...

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Main Authors: Jagoda Gorka, Regina M. Taylor-Gjevre, Terra Arnason
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/638727
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author Jagoda Gorka
Regina M. Taylor-Gjevre
Terra Arnason
author_facet Jagoda Gorka
Regina M. Taylor-Gjevre
Terra Arnason
author_sort Jagoda Gorka
collection DOAJ
description In 1891, Von Recklinghausen first established the association between the development of osteoporosis in the presence of overt hyperthyroidism. Subsequent reports have demonstrated that BMD loss is common in frank hyperthyroidism, and, to a lesser extent, in subclinical presentations. With the introduction of antithyroid medication in the 1940s to control biochemical hyperthyroidism, the accompanying bone disease became less clinically apparent as hyperthyroidism was more successfully treated medically. Consequently, the impact of the above normal thyroid hormones in the pathogenesis of osteoporosis may be presently underrecognized due to the widespread effective treatments. This review aims to present the current knowledge of the consequences of hyperthyroidism on bone metabolism. The vast number of recent papers touching on this topic highlights the recognized impact of this common medical condition on bone health. Our focus in this review was to search for answers to the following questions. What is the mechanisms of action of thyroid hormones on bone metabolism? What are the clinical consequences of hyperthyroidism on BMD and fracture risk? What differences are there between men and women with thyroid disease and how does menopause change the clinical outcomes? Lastly, we report how different treatments for hyperthyroidism benefit thyroid hormone-induced osteoporosis.
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spelling doaj-art-f8a1d7d4f58c46aa8dfa8c5a99e04f262025-02-03T01:22:48ZengWileyInternational Journal of Endocrinology1687-83371687-83452013-01-01201310.1155/2013/638727638727Metabolic and Clinical Consequences of Hyperthyroidism on Bone DensityJagoda Gorka0Regina M. Taylor-Gjevre1Terra Arnason2Department of Medicine, University of Saskatchewan, Saskatoon, S7N 0W8, CanadaDivision of Rheumatology, Department of Medicine, University of Saskatchewan, Saskatoon, S7N 0W8, CanadaDivision of Endocrinology and Metabolism, Department of Medicine, University of Saskatchewan, Saskatoon, S7N 0W8, CanadaIn 1891, Von Recklinghausen first established the association between the development of osteoporosis in the presence of overt hyperthyroidism. Subsequent reports have demonstrated that BMD loss is common in frank hyperthyroidism, and, to a lesser extent, in subclinical presentations. With the introduction of antithyroid medication in the 1940s to control biochemical hyperthyroidism, the accompanying bone disease became less clinically apparent as hyperthyroidism was more successfully treated medically. Consequently, the impact of the above normal thyroid hormones in the pathogenesis of osteoporosis may be presently underrecognized due to the widespread effective treatments. This review aims to present the current knowledge of the consequences of hyperthyroidism on bone metabolism. The vast number of recent papers touching on this topic highlights the recognized impact of this common medical condition on bone health. Our focus in this review was to search for answers to the following questions. What is the mechanisms of action of thyroid hormones on bone metabolism? What are the clinical consequences of hyperthyroidism on BMD and fracture risk? What differences are there between men and women with thyroid disease and how does menopause change the clinical outcomes? Lastly, we report how different treatments for hyperthyroidism benefit thyroid hormone-induced osteoporosis.http://dx.doi.org/10.1155/2013/638727
spellingShingle Jagoda Gorka
Regina M. Taylor-Gjevre
Terra Arnason
Metabolic and Clinical Consequences of Hyperthyroidism on Bone Density
International Journal of Endocrinology
title Metabolic and Clinical Consequences of Hyperthyroidism on Bone Density
title_full Metabolic and Clinical Consequences of Hyperthyroidism on Bone Density
title_fullStr Metabolic and Clinical Consequences of Hyperthyroidism on Bone Density
title_full_unstemmed Metabolic and Clinical Consequences of Hyperthyroidism on Bone Density
title_short Metabolic and Clinical Consequences of Hyperthyroidism on Bone Density
title_sort metabolic and clinical consequences of hyperthyroidism on bone density
url http://dx.doi.org/10.1155/2013/638727
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