Abraham Alice, Cohen Adi, Shane Elizabeth
Department of Medicine, Division of Endocrinology, College of Physicians & Surgeons, Columbia University, New York, New York.
Clin Obstet Gynecol. 2013 Dec;56(4):722-9. doi: 10.1097/GRF.0b013e3182a8ae55.
This article will discuss the diagnosis of osteoporosis in premenopausal women and the evaluation and management of those with low-trauma fractures and/or low bone mineral density. As secondary causes (glucocorticoid excess, anorexia nervosa, premenopausal estrogen deficiency, and celiac disease) are commonly the underlying cause of osteoporosis in this population, treatment of the underlying condition should be the focus of management. Additional management options, generally reserved for those with major or multiple fractures and/or ongoing bone loss, will also be described.
本文将探讨绝经前女性骨质疏松症的诊断，以及对低创伤骨折和/或低骨密度患者的评估与管理。由于继发性病因（糖皮质激素过多、神经性厌食症、绝经前雌激素缺乏和乳糜泻）通常是该人群骨质疏松症的潜在病因，因此治疗潜在疾病应成为管理的重点。本文还将介绍一般适用于有严重或多处骨折和/或持续骨质流失患者的其他管理选项。
