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Steroids cause osteoporosis
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  1. S Paget1
  1. 1Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA
  1. Correspondence to
    Dr Paget;
    PagetS{at}HSS.edu

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Excellent treatment options exist. So why don't we all prevent or treat it?

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 focused on the pathogenesis, clinical manifestations, and treatment of SIO. Despite the saturation publication on this topic for years, doctors do …

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