Men with PsA are at an increased risk of osteoporosis and associated fragility fractures, even those aged younger than 50. In a recent study published in Modern Rheumatology, researchers analyzed data from 163 patients with PsA to assess the prevalence of osteoporosis and identify potential risk factors. The study included patients with respective osteoporosis and osteopenia rates of 11.7% and 33.1%. Trabecular bone scores were age-appropriate for both genders. Compared with prior findings, the study showed an increased incidence of both osteoporosis (9.3%) and osteopenia (34.3%). Patients with osteoporosis had lower BMI and trabecular bone scores. The study highlights the elevated osteoporosis risk among patients with PsA, particularly men under 50 years old. These findings emphasize the importance of bone mineral density testing and appropriate interventions, especially in cases of lower BMI. Additionally, these data shed light on the underrecognized issue of osteoporosis in PsA and the importance of management to mitigate risk for fragility fractures.
