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The significance of HIV to bone mineral density

Wessman M, Weis N, Katzenstein TL, Lebech AM, Thorsteinsson K, Hansen AE, Jensen JB

Ugeskrift for laeger, 2017

Abstract

The life expectancy in well-treated HIV-infected persons approaches that of the general population, but HIV-infected persons have a greater incidence of fractures and osteoporosis. A decrease in bone mineral density is observed primarily during the first 1-2 years of antiretroviral therapy. Dual X-ray absorptiometry scan should be considered in HIV-infected men ≥ 50 years and postmenopausal women. In case of osteoporosis, bisphosphonate treatment should follow guidelines for the general population. Future research should focus on pathogenesis and prevention of bone density loss in HIV.

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