Cortisone damage to the bones

Cortisone damage to the bones
Cortisone damage to the bones

What is cortisone?

Steroids, or what is colloquially called cortisone, are chemicals or hormones that the body makes naturally. They are: glucocorticoid corticosteroids and anabolic -or anabolic steroids. Corticosteroids can be given in the treatment of many inflammatory diseases, such as rheumatoid arthritis, asthma, lupus and others, but they cause many symptoms and side effects that can affect the life of the patient in the sum, which includes damage Corticosteroids in the long term, bone thinning, weight gain, and lack of body immunity, which makes it more susceptible to various infections.

Therapeutic uses of cortisone

Corticosteroids can be used to treat many pathological conditions, which can occur due to a lack of internal cortisol secretion from the two adrenal glands - or a lack of stimulation from the pituitary gland -, or because the body needs more steroids when the advantages of giving them exceed the risks, and from the indications for giving cortisone What follows:

Addison's disease: This occurs when the body cannot produce enough cortisol, so steroids can help compensate for this deficiency.

Organ transplantation: Steroids help suppress the immune system of people who have had an organ transplant, such as a kidney or liver, to reduce the risk of rejection of the transplanted organ.

Inflammatory cases: We must differentiate here from the septic case, as the septic condition is the one that occurs when pathogens are infected, such as: viruses, germs, or fungi, and the inflammatory condition is the case in which the immune system attacks some of the body’s organs by mistake, and steroids help relieve this inflammatory condition.

Autoimmune diseases: The immune system can attack some parts of the body chronically and cause what is known as autoimmune diseases, such as rheumatoid arthritis, lupus, and inflammatory bowel diseases. The immune system and white blood cells, and this causes some damage to cortisone, represented by increased exposure to infections.

Corticosteroids are used to treat the following conditions:

  • asthma.
  • Allergic rhinitis.
  • Chronic obstructive pulmonary disease (COPD).
  •  Systemic lupus erythematosus.
  • Inflammatory bowel diseases.
  •  Multiple sclerosis.

Cortisone damage to the bones

Cortisone treatment can cause bone symptoms, which occur mainly due to lack of bone density, and this is often demonstrated during the first months of taking cortisone periodically - or daily -, and in addition, cortisone increases the possibility of fractures, and fractures occur in these Cases Although the BMD in bone is greater than the values ​​that occur in postmenopausal osteoporosis, in other words, prolonged cortisone can cause bone problems greater than those that occur in postmenopausal women.

 An increased risk of bone fractures occurs when cortisone is taken on a daily basis even in low doses, such as taking it at a dose of 2.5 to 7.5 mg per day. and those who have had previous fractures.

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