Lafita J, Pineda J, Fuentes C, Martínez J P
Servicio de Endocrinología, Centro de Consultas externas Príncipe de Viana, Pamplona, 31008, Spain.
An Sist Sanit Navar. 2003;26 Suppl 3:53-62.
Secondary osteoporosis is caused by pathologies or medications, differing from the bone loss explainable by the post-menopausal stage or by ageing. The possible pathologies that can condition the loss of bone mass are very varied: endocrinological, digestive, genetic, haematological, rheumatic, post-transplant, pharmacological and a wide miscellaneous group. This article essentially reviews the endocrinological causes, with special emphasis on the more controversial aspects, followed by a clinical approach for the systematic diagnosis of these pathologies, which are frequent in cases initially labelled as primary osteoporosis
继发性骨质疏松症由病理状况或药物引起，与绝经后阶段或衰老所致的骨质流失不同。可能导致骨质流失的病理状况多种多样：内分泌、消化、遗传、血液、风湿、移植后、药物性以及一大类杂项。本文主要回顾内分泌学病因，特别强调更具争议性的方面，随后介绍对这些在最初被诊断为原发性骨质疏松症的病例中常见的病理状况进行系统诊断的临床方法。
