Article: Secondary Osteoporosis: When and How to Work Up.(Brief Article)

Bone mineral density testing is particularly useful in identifying patients who need a battery of blood and urine tests to find a secondary cause for their bone loss, Dr. Kohlmeier said.

A bone mineral density (BMD) value that is more than one standard deviation less than age-, ethnicity-, and gender-matched controls warrants an evaluation for secondary causes of the bone loss. And a patient whose BMD measurement shows continued bone loss or a minimal increase in BMD after 2 years of therapy also needs further testing, she said.

Clinical indicators of the need for further evaluation include signs of Cushing's syndrome, Graves' disease, or other ...

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