Abstract
Glucocorticoid-induced osteoporosis is the most frequent secondary and iatrogenic cause of bone loss, often with a very rapid and disabling course and permanent consequences. Given the fact that glucocorticoids are extensively prescribed by various specialists (e.g. neurologists, rheumatologists, dermatologists, allergologists, nephrologists, endocrinologists, gastroenterologists and oncologists), the presented case reports should teach and warn.
Prior to initiation of corticosteroid therapy, a possibility of this complication must be considered, bone densitometry performed, preventive calcium and vitamin D supplementation administered and further monitoring planned. Alternatively, the patient may be referred to a specialized center.
Otherwise, potentially painful legal consequences may be expected, which are analyzed in the second part of the article.