Management of osteoporosis

Table 4 Causes of Low Bone Mineral Density.

Inherited	Nutritional	Endocrine	Drugs	Other
Osteogenesis imperfecta	Malabsorption	Hypogonadism	Glucocorticoids	Multiple myeloma
Homocystinuria	Chronic liver disease	Hyperthyroidism	Anticonvulsants	Rheumatoid arthritis
Marfan's syndrome	Alcoholism	Hyperparathyroidism	Long-term heparin	Systemic mastocytosis
Hypophosphatasia	Calcium deficient diet	Cushing's syndrome	Excess thyroid	Immobilization
	Vitamin D deficiency	Eating disorder	GnRH agonists

Low BMD may be the result of many medical disorders. There should be a high index of suspicion in all patients with low BMD for these types of contributing factors.

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