title: Decreased bone mineral density with off-label use of tenofovir in children and adolescents infected with human immunodeficiency virus.
abstract: 5 of 6 children infected with human immunodeficiency virus (HIV) receiving Tenofovir disoproxil fumarate (TDF) experienced absolute decreases in bone mineral density (BMD). 2 pre-pubertal subjects experienced >6% BMD decreases. 1 subject was the smallest child and experienced a 27% decrease, necessitating withdrawal of TDF. Subsequently, her BMD recovered. Monitoring of children infected with HIV who require treatment with TDF is warranted.
authors.affiliation: HIV and AIDS Malignancy Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
authors.forename: Julia B
authors.initials: JB
authors.lastname: Purdy
authors.forename: Rachel I
authors.initials: RI
authors.lastname: Gafni
authors.forename: James C
authors.initials: JC
authors.lastname: Reynolds
authors.forename: Steven
authors.initials: S
authors.lastname: Zeichner
authors.forename: Rohan
authors.initials: R
authors.lastname: Hazra
mesh_terms: D015502:Absorptiometry, Photon; D000225:Adenine / Q000031:analogs & derivatives* / Q000494:pharmacology / Q000627:therapeutic use; D000293:Adolescent; D019380:Anti-HIV Agents / Q000494:pharmacology* / Q000627:therapeutic use; D023241:Antiretroviral Therapy, Highly Active / Q000009:adverse effects*; D015519:Bone Density / Q000187:drug effects*; D002648:Child; D005260:Female; D006678:HIV; D015658:HIV Infections / Q000188:drug therapy* / Q000503:physiopathology; D006801:Humans; D008297:Male; D063065:Organophosphonates / Q000494:pharmacology* / Q000627:therapeutic use; D000068698:Tenofovir
chemical_list: D019380:Anti-HIV Agents; D063065:Organophosphonates; D000068698:Tenofovir; D000225:Adenine