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  • Title: Osteolysis of the pelvis presenting as insufficiency fracture in a patient with rheumatoid arthritis.
    Author: Duston M.
    Journal: J Clin Densitom; 2000; 3(2):203-6. PubMed ID: 10871913.
    Abstract:
    Physician awareness of the risk of osteoporosis and subsequent fractures in a patient with a history of long-term steroid treatment is high. The tendency to assume that a fracture is owing to steroid-induced osteoporosis may result in an unnecessarily intense antiresorptive treatment regimen for a patient who may not have osteoporosis. I report here about a patient with rheumatoid arthritis who presented with bone fracture despite antiresorptive therapy and without evidence of osteoporosis by bone mineral density testing.
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