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Osteoporosis in young adults


Authors: Zikán Vít
Authors place of work: Osteocentrum, III. interní klinika 1. LF UK a VFN v Praze
Published in the journal: Clinical Osteology 2022; 27(4): 135-146
Category:

Summary

Low-trauma fractures in young adults are most often the result of secondary osteoporosis. Less frequently, the cause of fractures or low bone mineral density (BMD) is a monogenic disease with delayed manifestation in adulthood (e.g. osteogenesis imperfecta) or idiopathic osteoporosis. Low BMD alone may reflect a physiologically low peak bone mass in otherwise healthy individuals and does not mean an increased risk of fractures. For clinical practice, it is important to rule out the secondary causes of osteoporosis and other metabolic or cancer induced bone diseases. Treatment should be causal. Anti-osteoporotic treatment is indicated if causal measures are insufficient or cannot be provided, e.g., in osteoporosis induced by chemotherapy or long-term treatment with glucocorticoids.

Keywords:

Young adults – fractures – osteoporosis – low bone mineral density


Zdroje

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Štítky
Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology Osteology
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