© 2002 by Annals of the Rheumatic Diseases
LEADER
Osteoporosis
Steroids cause osteoporosis
1 Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA
Correspondence to:
Correspondence to
Dr Paget;
PagetS@HSS.edu
Excellent treatment options exist. So why don't we all prevent or treat it?
Keywords: inflammatory arthritis; progenitor cells; joints
When doctors institute steroids for any illness and for any length of time, they take on a lifelong responsibility to that patient to both taper the drug as quickly as is possible and safe and prevent or treat the many well recognised steroid related side effects.1 This is particularly true when steroid treatment lasts for more than one month and certainly for many months or years. Rheumatologists have a particular accountability because of the 1% of the population who are receiving long term steroids, most have rheumatological disorders.2,3 Further, rheumatologists should have the best understanding of when the treatment course will be prolonged, the profound and negative physiological impact of steroids on bone, and the need to deal with this important issue in both men and women.4,5
A recent topic search for steroid-induced osteoporosis (SIO) yielded 79 000 articles since 1966 and 13 000 since l998, most of which
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This article has been cited by other articles:
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Gordon, M-M, Stevenson, S, Hunter, J A, Gudbjornsson, B, Juliusson, U I, Gudjonsson, F V
(2002). Steroids cause osteoporosis. Ann Rheum Dis
61: 947-948
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