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Volume 360:1676-1678 April 16, 2009 Number 16
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Giant Osteoclast Formation and Long-Term Oral Bisphosphonate Therapy

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 by Glowacki, J.
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 by Weinstein, R. S.
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To the Editor: Weinstein et al. (Jan. 1 issue)1 report on giant osteoclast formation in women receiving long-term oral bisphosphonate therapy. In accordance with the results of their study, our findings from a study of paired biopsy specimens, reported in 2006,2 showed giant osteoclast formation after 38 months in 9 of 23 men who received bisphosphonate therapy (39%). In addition to their presence in men who received alendronate, giant osteoclasts were observed when other nitrogen-containing bisphosphonates, such as risedronate and pamidronate, were administered. All these agents appeared to be associated with cytoskeletal disruption. A prolonged effect of bisphosphonates on the . . . [Full Text of this Article]




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