Title: Accidental Success with Carbamazepine for Psoriatic Erythroderma
Abstract:A review article on hip fracture (June 6 issue) 1 is certainly welcome.The diagnosis, prevention, and treatment of osteoporosis and the assessment of risk factors and prevention of falls are not only ...A review article on hip fracture (June 6 issue) 1 is certainly welcome.The diagnosis, prevention, and treatment of osteoporosis and the assessment of risk factors and prevention of falls are not only critical if we are to decrease the incidence of first hip fractures, but also important in patients who have already had a fracture.The risk of a second hip fracture is increased two-to threefold in these patients, and the risk of fractures at other sites is also increased.There are many approaches to decreasing the likelihood of further fractures in such patients.Treatment with calcium and vitamin D can reduce the incidence of hip fractures. 2Although we do not yet know the precise efficacy of secondary prevention after a first hip fracture, treatment with estrogen, bisphosphonate, or calcitonin should be considered in patients with osteoporosis at any stage in their disease.Similarly, a careful review of risk factors for falls and an attempt to minimize them should be as important in the patient who has had one hip fracture as it is in the elderly patient who is at high risk but has not yet had a fracture.There are practical interventions that can reduce the risk of falling.Read More