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Management of childhood osteoporosis
  1. N J Shaw
  1. Birmingham Children’s Hospital, Birmingham, UK; nick.shaw@bhamchildrens.wmids.nhs.uk

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I read with interest this recent review article that summarises current knowledge about this subject. I have a number of comments that are pertinent to the discussion. As the authors allude to, there is currently a lack of good evidence on which we can base preventive management. Although calcium and vitamin D supplements are routinely used by some paediatric rheumatologists, there appears to be only one short term study suggesting this may be beneficial for bone density. …

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