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Guidelines over DEXA scanning

The Royal College of Physicians, the National Osteoporosis Society and the Bone and Tooth Society would like to clarify a potential misunderstanding of their guidelines on glucocorticosteroid-induced osteoporosis (Pulse, February 10).

DEXA scanning is only recommended in patients aged under 65 who are taking oral steroids and who have not had a bone fracture related to fragile bones. High-risk patients taking oral steroids, such as those aged 65 and over and those who have already had a bone fracture, should commence bone-protective therapy at the same time as oral steroids.

DEXA scanning is not recommended in patients taking inhaled steroids.

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