Bone disease in alcohol abuse

D. D. Bikle, H. K. Genant, C. Cann, R. R. Recker, B. P. Halloran, G. J. Strewler

Research output: Contribution to journalArticlepeer-review

265 Scopus citations


We evaluated bone disease in 8 white men between the ages of 49 and 61 years who had been abusing alcohol for at least 10 years. The mean density of vertebral cancellous bone was 58% of normal, whereas the mean density of appendicular cortical bone was 90% of normal. Marked reduction in active bone resorption and bone formation was seen without evidence of osteomalacia. Serum levels of calcium and magnesium were in the lower range of normal; serum levels of phosphorus, calcifediol, and calcitriol were normal; and serum levels of parathyroid hormone and nephrogenous cyclic adenosine monophosphate were in the higher range of normal. These data suggest that bone disease in these subjects is not due to inhibition of parathyroid hormone secretion or function, or abnormal vitamin D metabolism, but to an inhibition of bone remodeling by a mechanism independent of the calciotropic hormones.

Original languageEnglish (US)
Pages (from-to)42-48
Number of pages7
JournalAnnals of internal medicine
Issue number1
StatePublished - 1985
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Internal Medicine


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