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Bisphosphonates are regarded as standard of care for severe forms of osteogenesis imperfecta (OI).1 Intravenous administration is well tolerated and short-term adverse effects are mild; however, more severe reactions were occasionally reported.2 Although anaemia is a known side effect of intravenous bisphosphonates in adults,3 it has not been reported in children with OI. Here, we investigated blood parameters changes in patients with OI treated with intravenous pamidronate.
In this retrospective study, we included children with OI treated in our site over April 2014–May 2018 period. Eligible patients had at least one treatment cycle with complete blood morphology data from before the first dose and >12 hours after last infusion. Pamidronate was administered according to the ‘standard protocol’2; it was diluted in 50 or 100 mL of 0.9% sodium chloride and administrated …
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