Ann Rheum Dis 1998;57:325-327 ( June )

Leader

Should we look for osteoporosis in patients with rheumatoid arthritis?

The first 150 words of the full text of this article appear below.

	Introduction

Recently, rheumatologists have become more interested in osteoporosis.^1 2 Obviously, this increased interest is a consequence of progress in diagnostic facilities³ and in therapeutic options of osteoporosis.¹

Dual energy x ray absorptiometry (DXA) is now the most commonly used method for measuring bone mineral density (BMD). This technology, (DXA), is crucial for the diagnosis, as osteoporosis is currently defined as a T score of  2.5 SD, according to the WHO criteria.⁴ DXA has become a less expensive diagnostic procedure than five years ago and DXA machines are now widely accessible. Moreover, successful prevention of further bone loss in patients with primary osteoporosis can be offered now with the introduction of new and more potent anti-osteoporotic drugs. In postmenopausal women, a decrease in the number of vertebral⁵ and hip fractures⁶ has been found with the use of alendronate. Studies on the effect on bone of other promising drugs, such as new . . . [Full text of this article]

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