The purpose of this educational exhibit is to:
1. Reiterate awareness of unsuspected and unexpected effect of drugs on patients’ bones
2. Demonstrate a series of challenging musculoskeletal cases with common and uncommon medication-related
changes.
3. Review the pertinent literature on adverse medication effects on bone.
Specific cases include:
Osteonecrosis of the jaw associated with zoledronic acid
Bisphosphonate associated femur fractures
Osteosclerosis associated with numerous agents.
Bone marrow changes associated with granulocyte-colony stimulating factor
Demineralization associated with numerous agents including:
-Glucocorticoids
-Inhaled corticosteroids
-Heparin
-Selective serotonin reuptake inhibitors/tricyclic antidepressants
-Chemotherapeutic agents
-Aromatase inhibitors
-Thiazolidinediones
-Antiepileptic drugs
-Cyclosporine
-GnRH agonists/antagonists
-Loop diuretics
Chadaz, T,
Talbot, B,
Monu, J,
Bones on Drugs: Imaging of Drug-Related Changes in Bone. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14004723.html