MORRIS NOTELOVITZ, M.D., PH.D.
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To the editor: The position paper (1) on bone densitometry is a statistical approach to a clinical problem, based on the erroneous equation of bone mass and osteoporosis. We (2) and others (3) have shown that bone mineral is lost from the entire skeleton in postmenopausal women, not only in areas typically associated with osteoporotic fractures. This finding shows the importance of differentiating osteopenia (a reduction in bone mineral content) from osteoporosis (decreased bone mass plus site-specific atraumatic fractures). The two conditions are usually interrelated but may be independent in much the same way that hypertension does not always lead
NOTELOVITZ M. Bone Densitometry. Ann Intern Med. ;108:481–482. doi: 10.7326/0003-4819-108-3-481
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Published: Ann Intern Med. 1988;108(3):481-482.
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