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Medicina Clínica (English Edition) Osteoporosis in premenopausal women
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Osteoporosis in premenopausal women
Osteoporosis en la mujer premenopáusica
Pilar Peris
Unidad de Patología Metabólica Ósea, Servicio de Reumatología, Hospital Clínic, IDIBAPS, Universidad de Barcelona, Barcelona, Spain
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Table 1. Causes of osteoporosis in young women.
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Table 2. Laboratory work-up in premenopausal osteoporosis.
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Abstract

The development of osteoporosis and fractures in young premenopausal women is infrequent and is usually associated with secondary causes of osteoporosis. Therefore, it is recommendable to perform a clinical evaluation and a thorough laboratory study searching for possible causes of bone loss in these patients. Treatment depends on the cause of osteoporosis and the associated processes as well as the future gestational desire of the patient, all of which should be taken into account when evaluating the most adequate diagnostic and the therapeutic approach in these patients.

Keywords:
Idiopathic osteoporosis
Premenopausal osteoporosis
Pregnancy osteoporosis
Resumen

El desarrollo de osteoporosis y fracturas en la mujer joven premenopáusica es infrecuente y suele asociarse a causas secundarias de osteoporosis, por lo que es recomendable realizar una valoración clínica y un estudio de laboratorio minuciosos dirigidos a valorar posibles causas de pérdida ósea en estas pacientes. El tratamiento dependerá de la causa de la osteoporosis y de los procesos asociados, así como del futuro deseo gestacional de la paciente, aspectos todos ellos que deben ser tenidos en cuenta en el abordaje diagnóstico y terapéutico de estas pacientes.

Palabras clave:
Osteoporosis idiopática
Osteoporosis premenopáusica
Osteoporosis del embarazo

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