title: [Male osteoporosis].
abstract: AN UPCOMING PUBLIC HEALTH PROBLEM: There has been a considerable focus on osteoporosis in men recently. Bone mass is high in men who have larger bones than women. The frequency of fractures is also higher due to post-trauma lesions. Femoral neck fractures have also increased over the last few years although the F/M ratio remains about 2.8. Overall, there is a trend towards an increased incidence of masculine osteoporosis (and vertebral fractures) due to population aging. FAVORING FACTORS IN MEN: The most important factors are hypoandrogenism, hypoestrogenism (pre or post-puberty), the alcohol-smoking association, malnutrition, lack of sun exposure and chronic liver disease. Other causes of osteoporosis (hyperthyroidism, Cushing's disease, hemochromatosis, gastrectomy, inflammatory rheumatic disease, tubulopathy, hypercalciuria and iatrogenic causes) should also be taken into consideration. PRETHERAPY WORK-UP: All the different possible etiologies should be investigated. Therapeutic protocols should provide hormone replacement when required, withdrawal of causal drugs, better nutrition and reduced alcohol and tobacco use.
authors.affiliation: Clinique Thérapeutique et Rhumatologique, CHU Dupuytren, Limoges.
authors.forename: R
authors.initials: R
authors.lastname: Trèves
authors.forename: V
authors.initials: V
authors.lastname: Louer
authors.forename: C
authors.initials: C
authors.lastname: Bonnet
authors.forename: P
authors.initials: P
authors.lastname: Vergne
authors.forename: M
authors.initials: M
authors.lastname: Remy
authors.forename: P
authors.initials: P
authors.lastname: Bertin
mesh_terms: D015519:Bone Density; D050723:Fractures, Bone / Q000209:etiology; D006801:Humans; D008297:Male; D010024:Osteoporosis / Q000150:complications / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D012307:Risk Factors
vernacular_title: L'ostéoporose masculine.