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Guidelines For The Prevention And Therapy Of Glucocorticoid-Induced Osteoporosis

CLINICAL AND EXPERIMENTAL RHEUMATOLOGY(2000)

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摘要
AimTo review the literature and provide guidelines for the prevention and treatment of glucocorticoid induced osteoporosis.MethodsReview of all randomized controlled trials studying prevention or treatment of glucocorticoid-induced osteoporosis.ResultsThere is ample evidence in the literature demonstrating that use of supraphysiologic doses of glucocorticoids can lead to significant amounts of bone loss as early as the first 3 to 6 months of use, with devastating consequences. While our understanding of the mechanisms leading to glucocorticoid-induced bone loss is limited, effective therapy for prevention and management is available.ConclusionCurrent data show that bisphosphonate therapy is the treatment of choice for the prevention and management of glucocorticoid-induced osteoporosis.
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关键词
guidelines, glucocorticoid, osteoporosis, prevention, management, bisphosphonate, bone density
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