Author/Editor     Kocjan, Tomaž; Jensterle Sever, Mojca; Preželj, Janez
Title     Strokovna stališča Združenja endokrinologov Slovenije o obravnavi glukokortikoidne osteoporoze
Translated title     A position statement of the Slovenian endocrine society on the management of glucocorticoid-induced osteoporosis
Type     članek
Vol. and No.     Letnik 87, št. 9/10
Publication year     2018
Volume     str. 453-460
ISSN     1318-0347 - Zdravniški vestnik : glasilo Slovenskega zdravniškega društva : Slovenian medical journal
Language     slv
Abstract     Treatment with glucocorticoids is the most common cause of secondary osteoporosis. Glucocorticoid osteoporosis is characterised by a very rapid decline in bone mineral density with a rapid increase in the fracture risk, so at the time of glucocorticoid prescription the patient's risk of fracture should be assessed and advice regarding healthy lifestyle, intake of calcium, vitamin D and protein should be given. If indicated, bone-protective agents are introduced as well to increase bone mineral density and reduce vertebral fractures risk. Bisphosphonates are the first choice, while teriparatide is reserved for patients with higher fracture risk who have already sustained a fracture.
Keywords     bisfosfonati
glukokortikoidi
osteoporozni zlomi
bisphosphonates
glucocorticoids
osteoporotic fractures