Research Article

Hypertryptasemia and Mast Cell-Related Disorders in Severe Osteoporotic Patients

Table 3

Bone mineral densities and vertebral fractures in patients with SM and MC alterations.

PatientDiagnosisLS
s
LS
s
FN
s
FN
s
TH
s
TH
s
Vertebral fractureTreatmentTreatment efficacy (follow-up)

1SM-4.30-2.80-1.80T6, T8, T9, T11, T12, L1, L3Alendronate 70 mg/weekNo incident fractures (12 months)
2SMn.a.-1.50-1.00T6, L4, L5Zoledronate 5 mg/12 monthsNo incident fractures (12 months)
3SM-4.20-2.30-2.40T12Alendronate 70 mg/weekNo incident fractures (24 months)
4MC alterations-3.40-2.50-2.30T7, T8, T9, L2, L3, L4Teriparatide 20 mcg/day+denosumab 60 mg/25 weeksNo incident fractures and significant increases in BMDs ( months)
5MC alterations0.30-1.60-0.20T11, T12Treatment refusedNot available
6MC alterations-4.30-2.80-2.60L2Alendronate 70 mg/weekNo incident fractures (12 months)
7MC alterations-3.90-1.50-1.30T5, T6, T8, T10, T11, T12, L1, L2, L3, L5Alendronate 70 mg/weekNot available (6 months)
8PV-2.8-2.4-1.7No fracture detectedRisedronate 35 mg/weekSignificant increases in BMDs (84 months)

Severe lumbar enthesophaties; SM: systemic mastocytosis; MC: mastocytosis; PV: polycythemia vera; LS s: lumbar spine -score; LS s: lumbar spine -score; FN s: femoral neck -score: FN s: femoral neck -score; TH s: total hip -score; TH s: total hip -score; n.a.: not assessed due to previous arthrodesis.