Bone marrow decrease

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: {{Eiman Ghaffarpasand, M.D. [2] Differentiating diseases that cause a decrease in the bone mineral density (BMD):

Differential Diagnosis Similar Features Differentiating Features
Osteoporosis
  • On physical examination, demonstrates acute musculoskeletal pain, if fracture happened
  • On imaging studies, demonstrates severe decrease in BMD
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Idiopathic transient osteoporosis of hip
  • On physical examination, demonstrates acute hip pain
  • On imaging studies, demonstrates sub-chondral cortical loss and diffuse osteopenia of the femoral neck
  • On history, demonstrates mostly involvement of pregnant women and young men
  • On history, demonstrates to be self-limiting in 6-8 months
Osteomalacia
Scurvy
Osteogenesis imperfecta
Multiple myeloma
  • On physical examination, demonstrates diffuse bone pain and tenderness
  • On imaging studies, demonstrates osteolytic lesions in the bones
Homocystinuria