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Osteoporosis in 15 year old boy.
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cdwright posted:
My son just had a bone density scan with a z score -4.6 femoral neck bone mineral density. (He had a bone marrow transplant in June, 2011, and has had several rounds of steroids for graft versus host disease and Evan's Syndrome.) I understand the z score, but I am trying to figure out what it all means to him. His spine z score was only -0.1, so that isn't as worrying. His transplant doctor said he will need to be followed by a specialist, but that is as far as we got, as it was the end of the day, and we were late for our next appointment.
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bonebabe responded:
All young people (under age 30 or so) will have low scores on DXA testing because their bones are still growing and they haven't reached their peak bone density.

That said, your son has other issues complicating his score. If none of his doctors are specialists in osteoporosis, I'd look for one near you (look on the iscd website, www.iscd.org , for a certified clinician near you) and make an appointment.

At the very least, he should be consuming 1000 mg of calcium each day and age appropriate Vt D. Go to the NOF website too, www.nof.org , for information on this and other questions you may have.

Pediatric bone density is always secondary to other conditions and illnesses.


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