The article highlights the questions related to the features of osteoporosis systemic symptoms in patients with chronic obstructive pulmonary disease (COPD). Osteoporosis and COPD are closely connected by pathogenesis, that is why it is necessary to take into account the severity of chronic systemic inflammation and system complications, the duration of the disease, patient’s clinical group, the action of harmful factors that influence on an origin and course of disease (smoking index), doses of inhalational or systemic corticosteroids taken by a patient which can also influence the development of osteoporosis. Therefore examinations that characterize the bronchial obstruction extent and authenticity of osteoporosis development should be used in diagnostics of osteoporosis in patients with COPD .
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