Bone-scintigraphic examinations in patients treated with retinoids: a prospective study

Br J Dermatol. 1989 Jan;120(1):31-6. doi: 10.1111/j.1365-2133.1989.tb07762.x.

Abstract

Possible early side-effects of retinoid treatment on bones were studied with the aid of bone-scintigraphy. Isotretinoin treatment (1.0 mg/kg daily for 4 months) was given to 18 patients with acne. Fifteen patients with psoriasis received etretinate treatment (0.7-1.0 mg/kg/day) for 4 months. In the group treated with isotretinoin, pathological uptake of radiolabel was found in three cases, while in the group treated with etretinate, no bone changes attributable to treatment were found. During isotretinoin treatment, a decrease in growth-plate activity was observed. Bone-scintigraphy is considered to be a suitable method for early screening for bone changes occurring in retinoid treatment.

MeSH terms

  • Acne Vulgaris / drug therapy
  • Adolescent
  • Adult
  • Bone and Bones / diagnostic imaging*
  • Bone and Bones / drug effects
  • Calcium / blood
  • Etretinate / adverse effects
  • Etretinate / therapeutic use*
  • Growth Plate / diagnostic imaging
  • Growth Plate / drug effects
  • Humans
  • Isotretinoin / adverse effects
  • Isotretinoin / therapeutic use*
  • Male
  • Phosphorus / blood
  • Prospective Studies
  • Psoriasis / drug therapy
  • Radionuclide Imaging
  • Sacroiliac Joint / diagnostic imaging

Substances

  • Phosphorus
  • Etretinate
  • Isotretinoin
  • Calcium