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ankylosing spondylitis and ...From: Douglas Krell (sfth@roadrunner.com)Sat Apr 27 02:56:54 1996
Anyone interested in tackling this case? 61yo WF with ankylosing spondylitis and hypertension smokes 2ppday X20 years. trying to quit. Has tried "everything" Meds: Plendil Zoloft Prednisone 40mg/day cytotec (for ulcers) various NSAIDS S/P 2 NSCVD TAH/BSO 10 yrs ago Pt concerned about Estrogen and smoking Osteoporosis My plan: quit smoking, quit smoking, quit smoking. Start Estrogen check bone density adequate Ca++ and Vit D other options: quit smoking Fosamax check bone density keep smoking eat filet mignon live it up for the short time left. I'm just assuming pt. has osteoporosis, though I don't know specifically about effect the fosamax may have on Ankylosing spondylitits. Any rheumatologists in the group?
-- Douglas Krell MD sfth@roadrunner.com
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