[Osteoporosis in young individuals].

Although there are some differential aspects related to peak bone mass acquisition and later bone loss throughout life between genders, the frequency of osteoporosis in young individuals is similar for both genders. In addition, in this population group, the development of osteoporosis is frequently associated with secondary causes. Indeed, nearly 50% of young individuals with osteoporosis have diseases or therapies related to the development of this disorder, with glucocorticoid therapy being one of the most frequently associated conditions. There are several other processes, which have also been associated with such a disorder in these individuals, but the causes differ between genders. In addition, idiopathic osteoporosis is also a frequent condition in these patients. In this subgroup of patients, a family history of osteoporosis or hypercalciuria is also a frequently associated finding. Because of that, in order to rule out secondary causes of osteoporosis, the laboratory studies performed to these patients should be extensive. Although there is few data on the treatment of these patients, basic rules such as exercise, correct calcium and vitamin D consumption, and avoiding alcohol and tobacco consumption should be advised. Drug therapy will depend on the cause of osteoporosis. However, it should be taken into account that most young women are of childbearing age, so drug therapy in these patients should be evaluated cautiously.