What is the difference between primary osteoporosis and secondary osteoporosis?

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What is considered secondary osteoporosis?

Secondary osteoporosis is defined as bone loss that results from specific, well-defined clinical disorders. Many times reversible, secondary causes of bone loss are not considered in a patient with low bone mineral density (BMD).

Which is more common primary or secondary osteoporosis?

Two categories of osteoporosis have been identified: primary and secondary. Primary osteoporosis is the most common form of the disease and includes postmenopausal osteoporosis (type I), and senile osteoporosis (type II). Secondary osteoporosis is characterized as having a clearly definable etiologic mechanism.

What is the difference between type I and type II osteoporosis?

Postmenopausal osteoporosis (type 1) occurs in women within 15–20 years after menopause and is thought to result from factors related to or exacerbated by estrogen deficiency. Age-related osteoporosis (type 2) occurs in men and women over 75 years of age and may be more directly related to the aging process.

What are the different types of osteoporosis?

There are four different types of osteoporosis, these are described below:

  • Primary osteoporosis. This is the most common type of osteoporosis and occurs more in women than men. …
  • Secondary osteoporosis. …
  • Osteogenesis imperfecta. …
  • Idiopathic juvenile osteoporosis.
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What is secondary prevention of osteoporosis?

Emphasis of the primary prevention is, besides a sufficient calcium intake, to omit risk factors; with secondary prevention the use of medical treatments such as estrogens/gestagens, bisphosphonates, and recently also SERMs is applied. The tertiary prevention tries mostly to reduce the femur fractures.

When do you suspect secondary osteoporosis?

Secondary osteoporosis is less common than primary osteoporosis. It may be suspected in patients who present with a fragility fracture despite having no risk factors for osteoporosis. In addition, secondary osteoporosis should be considered if the bone density Z-score is –2.5 or less.

What is the best management of osteoporosis?

Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel), a weekly or monthly pill.

Is glucocorticoid treatment primary or secondary osteoporosis?

Glucocorticoids are quite commonly used in the treatment of many diseases and are one of the most common causes of secondary osteoporosis. Osteoporosis associated with chronic steroid therapy, appears to be an important medical problem.

What diseases are related to osteoporosis?

6 Medical Conditions Linked to Osteoporosis and Bone Loss

  • Diabetes Mellitus and Osteoporosis. For reasons scientists still don’t fully understand, people with type 1 diabetes tend to have lower bone density. …
  • Lupus and Rheumatoid Arthritis. …
  • Hyperthyroidism. …
  • Celiac Disease. …
  • Asthma. …
  • Multiple Sclerosis.

What are the grades of osteoporosis?

Understanding Bone Density Test Results

  • A T-score of -1.0 or above is normal bone density. Examples are 0.9, 0 and -0.9.
  • A T-score between -1.0 and -2.5 means you have low bone density or osteopenia. …
  • A T-score of -2.5 or below is a diagnosis of osteoporosis. …
  • The lower a person’s T-score, the lower the bone density.
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What type of bone is most affected by osteoporosis?

Osteoporotic bone breaks are most likely to occur in the hip, spine or wrist, but other bones can break too. In addition to causing permanent pain, osteoporosis causes some patients to lose height. When osteoporosis affects vertebrae, or the bones of the spine, it often leads to a stooped or hunched posture.

Which is worse osteoporosis or osteopenia?

The difference between osteopenia and osteoporosis is that in osteopenia the bone loss is not as severe as in osteoporosis. That means someone with osteopenia is more likely to fracture a bone than someone with a normal bone density but is less likely to fracture a bone than someone with osteoporosis.

Why is osteoporosis more common in females?

Women. Women are more at risk of developing osteoporosis than men because the hormone changes that happen at the menopause directly affect bone density. The female hormone oestrogen is essential for healthy bones. After the menopause, oestrogen levels fall.