RESUMO
Background: Chemical warfare victims with history of exposure to sulfur mustard gas comprise a considerable number of our young asthmatic population. They are at risk of adverse effects of the gas including asthma; diffuse pulmonary fibrosis, chemical bronchitis, skin lesions and ophthalmic complications, with a great part of their treatment depending on corticosteroid compounds
Objective: To evaluate the rate of osteoporosis in a group of asthmatic victims of sulfur mustard gas and to compare it with non-chemical asthmatic patients, in order to determine the distribution, site of involvement, intensity of effects, and difference with the non-exposed group
Materials and Methods: In this prospective study, 100 asthmatic male patients who had a history of exposure to sulfur mustard gas were selected according to inclusion and exclusion criteria, and matched with 100 non-chemical asthmatic male patients in regard to age, duration of disease, duration of corticosteroid therapy, and the form of therapy. Bone Mineral Density [BMD] test was performed on hip and lumbar vertebrae of case and control groups according to WHO criteria. Independent- samples T test was used to analyze the results
Results: There was a significant difference [p <0.05] between the two groups in the range of osteoporosis and osteopenia. No significant correlation was found between age and complications. Most changes [65%] were observed in the vertebral column, and hip involvement [%5] was much more severe in the case group
Conclusion: Considering the morbidities caused by this chemical warfare agent, the osteoporotic complications in chemical warfare victims can intensify their disabilities. Therefore, preventive measures must be undertaken to reduce complications