Correspondence - “Bone health, HIV-infected children, antiretroviral therapy, and hemoglobinopathy” :[PAUTHORS], Indian Journal of Sexually Transmitted Diseases and AIDS

LETTER TO EDITOR
Year : 2022 | Volume : 43 | Issue : 2 | Page : 214-

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

Rujittika Mungmunpuntipantip¹, Viroj Wiwanitkit²,
¹ Private Academic Consultant, Bangkok, Thailand
² Department of Community Medicine, Dr. D. Y. Patil University, Pune, Maharashtra, India

Correspondence Address:
Dr. Rujittika Mungmunpuntipantip
Private Academic Consultant, Bangkok
Thailand

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;43:214-214

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 2023 Dec 8 ];43:214-214
Available from: https://ijstd.org/text.asp?2022/43/2/214/361305

Full Text

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

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.
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.
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.