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Correspondence
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Volume 337:1921 December 25, 1997 Number 26
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Intermittent Etidronate and Corticosteroid-Induced Osteoporosis

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To the Editor: The study by Adachi et al. (Aug. 7 issue)1 of intermittent etidronate therapy for the prevention of corticosteroid-induced osteoporosis addresses one of the greatest challenges in rheumatology: how to harness the benefit of the most potent antiinflammatory drug available while lessening its side effects. Unfortunately, the study has several problems.

There was a disproportionate number of patients with rheumatoid arthritis in the placebo group (21, vs. 13 in the etidronate group). Patients with this disorder are known to have an increased risk of fractures that is independent of corticosteroid therapy.2 A major finding of the study was . . . [Full Text of this Article]

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