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Practice Guideline
. 2023 Oct;78(10):586-592.

[Diagnosis of osteoporosis]

[Article in French]
Affiliations
  • PMID: 37830325
Free article
Practice Guideline

[Diagnosis of osteoporosis]

[Article in French]
Olivier Malaise et al. Rev Med Liege. 2023 Oct.
Free article

Abstract

We here describe the case of a post-menopausal woman presenting with a recent vertebral fracture and cortical osteopenia on bone dual energy X-ray absorptiometry. Based on this case, we will discuss the definition and diagnosis of osteoporosis as well as the indications to treat, which go beyond the densitometric-based definition of osteoporosis. We will also address the osteoporosis screening recommendations, and the blood workup required before treatment initiation. The choice of the treatment, its duration and the non-pharmacological measures will be discussed in another article.

Nous décrivons le cas d’une patiente ménopausée présentant un tassement vertébral récent et une ostéopénie corticale sur la densitométrie osseuse. Nous discutons, à partir de ce cas clinique, la définition et le diagnostic de l’ostéoporose, ainsi que les indications thérapeutiques, qui dépassent le cadre de la simple définition densitométrique. Nous abordons ensuite les indications de dépistage de l’ostéoporose, ainsi que le bilan biologique et étiologique à réaliser avant l’instauration du traitement. Le choix du traitement reminéralisateur, la durée du traitement et la prise en charge non médicamenteuse de l’ostéoporose seront discutés dans une autre vignette.

Keywords: Bone mineral density; Osteoporosis; Screening.

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