外源性皮质类固醇引起骨质疏松可逆性问题迄今未解决,因长期用类固醇后不易停止的而停止类固醇治疗对骨质疏松过程的影响未被研究。作者描写6例慢性长期结节病,停止皮质类固醇治疗后显示椎骨网状矿质计数(VCMC)的改善,为首报病例。 前瞻性研究近6年结节病患者。入组标准:①组织学证明结节病;②长期泼尼松(强的松)治疗,仅治疗结节的活性加功能损害患者;③在泼尼松治疗末骨矿质丢失;④由于临床上不需要而停止泼尼松;⑤停止泼尼 The problem of reversibility of osteoporosis caused by exogenous corticosteroids has not been solved so far. The effects of stopping steroid treatment on the process of osteoporosis after long-term steroid use are not stopped. The authors describe chronic long-term sarcoidosis in six patients, showing an improvement in vertebral reticular mineral count (VCMC) after corticosteroid treatment was stopped, the first reported case. Prospective study of patients with sarcoidosis for nearly 6 years. Inclusion criteria: ① histologically proven sarcoidosis; ② long-term prednisone (prednisone) treatment, only the treatment of nodular activity plus functional impairment; ③ prednisone in the treatment of bone mineral loss; ④ as clinically Do not stop prednisone; ⑤ stop Prednisone