Endocrinol Metab.
2024 Apr;39(2):267-282. 10.3803/EnM.2024.1939.
Bone Loss after Solid Organ Transplantation: A Review of Organ-Specific Considerations
- Kim KJ
1 - Ha J2
- Kim SW3
- Kim JE4
- Lee S5
- Choi HS6
- Hong N7
- Kong SH8,9
- Ahn SH10
- Park SY11
- Baek KH12
- on Behalf of Metabolic Bone Disease Study Group of Korean Endocrine Society1
- Affiliations
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- 1Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
- 2Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 3Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea
- 4Department of Molecular Medicine, Cell and Matrix Research Institute, School of Medicine, Kyungpook National University, Daegu, Korea
- 5Department of Internal Medicine, Gachon University College of Medicine, Incheon, Korea
- 6Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea
- 7Department of Internal Medicine, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Korea
- 8Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
- 9Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
- 10Department of Endocrinology and Metabolism, Inha University Hospital, Inha University College of Medicine, Incheon, Korea
- 11Department of Endocrinology and Metabolism, College of Medicine, Kyung Hee University, Seoul, Korea
- 12Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- KMID: 2554631
- DOI: http://doi.org/10.3803/EnM.2024.1939
Abstract
- This review article investigates solid organ transplantation-induced osteoporosis, a critical yet often overlooked issue, emphasizing its significance in post-transplant care. The initial sections provide a comprehensive understanding of the prevalence and multifactorial pathogenesis of transplantation osteoporosis, including factors such as deteriorating post-transplantation health, hormonal changes, and the impact of immunosuppressive medications. Furthermore, the review is dedicated to organ-specific considerations in transplantation osteoporosis, with separate analyses for kidney, liver, heart, and lung transplantations. Each section elucidates the unique challenges and management strategies pertinent to transplantation osteoporosis in relation to each organ type, highlighting the necessity of an organ-specific approach to fully understand the diverse manifestations and implications of transplantation osteoporosis. This review underscores the importance of this topic in transplant medicine, aiming to enhance awareness and knowledge among clinicians and researchers. By comprehensively examining transplantation osteoporosis, this study contributes to the development of improved management and care strategies, ultimately leading to improved patient outcomes in this vulnerable group. This detailed review serves as an essential resource for those involved in the complex multidisciplinary care of transplant recipients.
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