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  Table of Contents  
LETTER TO EDITOR
Year : 2022  |  Volume : 43  |  Issue : 2  |  Page : 214
 

Correspondence - “Bone health, HIV-infected children, antiretroviral therapy, and hemoglobinopathy”


1 Private Academic Consultant, Bangkok, Thailand
2 Department of Community Medicine, Dr. D. Y. Patil University, Pune, Maharashtra, India

Date of Submission10-Nov-2021
Date of Decision15-Dec-2021
Date of Acceptance03-Jan-2022
Date of Web Publication17-Nov-2022

Correspondence Address:
Dr. Rujittika Mungmunpuntipantip
Private Academic Consultant, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijstd.ijstd_104_21

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How to cite this article:
Mungmunpuntipantip R, Wiwanitkit V. Correspondence - “Bone health, HIV-infected children, antiretroviral therapy, and hemoglobinopathy”. Indian J Sex Transm Dis 2022;43:214

How to cite this URL:
Mungmunpuntipantip R, Wiwanitkit V. Correspondence - “Bone health, HIV-infected children, antiretroviral therapy, and hemoglobinopathy”. Indian J Sex Transm Dis [serial online] 2022 [cited 2022 Nov 28];43:214. Available from: https://www.ijstd.org/text.asp?2022/43/2/214/361305


Dear Editor,

We would like to correspond on “Bone health in HIV-infected children on antiretroviral therapy: An Indian study.”[1] Bhise et al. concluded that “Over 95% of HIV-infected children have low 25(OH) Vitamin D levels…. with low bone mineral density (BMD).”[1] We agree that there might be bone health problems in HIV-infected children on antiretroviral therapy. However, the Vitamin D level, as well as BMD, might be associated with other confounding factors. In our area, the hemoglobinopathy and thalassemia are very common and the children who are carrier of those diseases usually have a background of poor bone health[2] and low Vitamin D[3] regardless of receiving antiretroviral therapy.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Bhise S, Jain A, Savardekar L, Shetty NS, Shah I. Bone health in HIV-infected children on antiretroviral therapy: An Indian study. Indian J Sex Transm Dis AIDS 2021;42:138-43.  Back to cited text no. 1
    
2.
De Sanctis V, Soliman AT, Elsefdy H, Soliman N, Bedair E, Fiscina B, et al. Bone disease in β thalassemia patients: Past, present and future perspectives. Metabolism 2018;80:66-79.  Back to cited text no. 2
    
3.
Nakavachara P, Viprakasit V. Children with hemoglobin E/β-thalassemia have a high risk of being vitamin D deficient even if they get abundant sun exposure: A study from Thailand. Pediatr Blood Cancer 2013;60:1683-8.  Back to cited text no. 3
    




 

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