[Metabolic bone diseases]

[Metabolic bone diseases] Research Abstract Details 

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[Metabolic bone diseases] Abstract Text:

F Jakob,F Jakob,

Osteomalacia is caused by impaired vitamin D receptor (VDR) signaling, calcium deficiency, and altered bone mineralization. This can be due to insufficient sunlight exposure, malabsorption, reduced D hormone activation in chronic kidney disease, and rare alterations of VDR signaling and phosphate metabolism. Leading symptoms are bone pain, muscular cramps, and increased incidence of falls in the elderly. The adequate respective countermeasures are to optimize the daily intake of calcium and vitamin D3 and to replace active D hormone and phosphate if deficient. Osteoporosis is characterized by bone fragility fractures upon minor physical impact. Indications for diagnosis and treatment can be established by estimating the absolute fracture risk, taking into account bone mineral density, age, gender, and individual risk factors. Exercise, intervention programs to avoid falls, and specific drugs are capable of substantially reducing fracture risk even in the elderly. Secondary osteoporosis primarily requires both bone-altering medications and effective treatment of underlying diseases.

[Metabolic bone diseases] Publishing Authors By Initials

F Jakob,F Jakob,

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PUBLICATION TYPE: Journal Article

Journal: Der Internist

VOLUME: 48

Page Numbers: 1101-17

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ISSN: 0020-9554

DAY: 1

MONTH: Oct

YEAR: 2007

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LANGUAGE: ger

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AFFILIATION: Orthopädisches Zentrum für Muskuloskelettale Forschung, Lehrstuhl Orthopädie, Orthopädische Klinik König-Ludwig-Haus, Universität Würzburg, Brettreichstrasse 11, 97074, Würzburg, Germany. f-jakob.klh@mail.uni-wuerzburg.de

Country: Germany

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MEDLINETA: Internist (Berl)

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