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COPYRIGHT 2005 American Academy of Family Physicians
Guidelines recommend inhaled corticosteroids for patients with severe chronic obstructive pulmonary disease (COPD) to reduce the number of exacerbations and improve health status. Systemic corticosteroids have been shown to negatively affect bone density, increasing the risk for osteoporosis and fractures, although data are inconsistent. One complication is that chronic disease is a risk factor for fracture, and patients with COPD have a 36 to...
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