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Routine bone scans appropriate for some premenopausal women.(Gynecology)

OB GYN News

| February 01, 2005 | Mahoney, Diana | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

HARROGATE, ENGLAND -- Targeted use of bone densitometry in premenopausal women can identify a significant number of patients who would benefit from bone protection, a study has shown.

Of 301 premenopausal women referred to London's Queen Elizabeth Hospital during a 4-year period for dual energy x-ray absorptiometry (DXA) because of possible increased risk of osteoporosis, 41% had abnormal scans, reported said Elizabeth Koshy, M.D., in a presentation at the annual conference of the National Osteoporosis Society.

Premature menopause accounted for 43 (14%) of the patients referred for DXA. Of these, 37% had abnormal scans.

Steroid use accounted for 19% of the referrals, of which 47% of the scans were abnormal. Of the approximately 14% of referrals based on family history, 27% resulted in abnormal scan. Osteopenia or previous fracture was the primary or coexisting indication for 37 or 12% of the patients, and among these, 54% were abnormal. Amenorrhea was the impetus for 11 (3.7%) of the scans, and 64% of these were abnormal, reported Dr. Koshy of Imperial College London.

The medical conditions associated with the ...

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