Course Syllabus
Obiettivi
L'obiettivo di questo corso è approfondire le conoscenze sull'osteoporosi e su altri disturbi comuni del metabolismo fosfo-calcico, introdotti nel corso base di endocrinologia. Gli studenti acquisiranno strumenti clinici per migliorare la comprensione delle diagnosi differenziali e sviluppare competenze pratiche per trattare i pazienti in modo efficace.
Contenuti sintetici
Osteoporosi
Panoramica su altre malattie metaboliche dell'osso
Carenza di vitamina D
Disturbi delle paratiroidi
Programma esteso
Il corso elettivo su "Progressi nelle Malattie Metaboliche dell'Osso" è progettato per fornire una comprensione approfondita dell'osteoporosi, della sua diagnosi e delle attuali strategie terapeutiche.
Nel corso delle lezioni, esploreremo i meccanismi alla base dell'osteoporosi, una condizione che riduce la densità ossea e aumenta il rischio di fratture, approfondiremo i metodi diagnostici, in particolare la densitometria ossea.
Un'attenzione particolare sarà dedicata alla vitamina D, al suo ruolo essenziale nel metabolismo osseo e alle più recenti linee guida per la prevenzione delle patologie legate alla sua carenza. Inoltre, approfondiremo le linee guida per la gestione dell'iperparatiroidismo.
Infine, il corso includerà la discussione di casi clinici per favorire l'applicazione pratica delle conoscenze acquisite, offrendo consigli utili per la gestione quotidiana dei pazienti con malattie dell'osso.
Modalità didattica
- Lezioni frontali
- Casi clinici e apprendimento basato sui problemi (PBL - Problem Based Learning)
Tutte le attività del corso si svolgeranno in inglese.
Materiale didattico
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Harrison’s Principles of Internal Medicine
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Camacho PL, et al. American Association of Clinical Endocrinologists/American College of Endocrinology clinical practice guidelines for the diagnosis and treatment of postmenopausal osteoporosis - 2020 update. Endocr Pract 2020, 26 (suppl 1): 1-46
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Eastell R, Rosen CJ, Black DM, Cheung AM, Murad MH, Shoback D. Pharmacological Management of Osteoporosis in Postmenopausal Women: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2019, 104: 1595-622
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Ralston SH, et al.
Diagnosis and management of Paget’s disease of bone in adults: a clinical guideline.
J Bone Min Res 2019: e3657 -
Tanaka Y, et al. The 2023 guidelines for the management and treatment of glucocorticoid‑induced osteoporosis. J Bone Min Metab 2024, 42: 143–54
-
Demay MB, et al. Vitamin D for the prevention of disease: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2024, 109: 1907-47
-
Bilezikian JP et al. International Workshop on Primary Hyperparathyroidism. Evaluation and Management of Primary Hyperparathyroidism: Summary Statement and Guidelines from the Fifth International Workshop. J Bone Miner Res. 2022, 37(11):2293-2314
Periodo di erogazione dell'insegnamento
Marzo-Aprile 2025
Modalità di verifica del profitto e valutazione
Esame orale sui temi trattati nelle lezioni, con un focus sulla risoluzione di problemi clinici e sul pensiero critico.
Analisi approfondita di casi clinici per applicare le conoscenze teoriche a scenari clinici reali.
Tutte le valutazioni saranno svolte in lingua inglese.
Orario di ricevimento
Per appuntamenti, contattare i docenti via mail:
Prof. Roberto Trevisan, e-mail roberto.trevisan@unimib.it
Dr. Silvia Ippolito, e-mail sippolto@asst-pg23.it
Dr. Sara Cassibba, e-mail scassibba@asst-pg23.it
Sustainable Development Goals
Aims
The objective of this course is to deepen the knowledge of osteoporosis and other common disorders of phospho-calcium metabolism, introduced in the basic endocrinology course. Students will acquire clinical tools to enhance their understanding of differential diagnoses and develop practical skills for effectively treating patients.
Contents
Osteoporosis
Overview of Other Metabolic Bone Diseases
Vitamin D Deficiency
Parathyroid Disorders
Detailed program
The elective course on "Advances in Metabolic Bone Diseases" is designed to provide an in-depth understanding of osteoporosis, its diagnosis, and the current therapeutic strategies. Throughout the course, we will explore the mechanisms behind osteoporosis, a condition that reduces bone density and increases the risk of fractures, as well as diagnostic methods, including bone densitometry.
A special focus will be placed on vitamin D, its essential role in bone metabolism, and the latest guidelines for the prevention of diseases related to its deficiency. We will also delve into the guidelines for the management of hyperparathyroidism.
Finally, the course will include the discussion of real clinical cases to promote the practical application of the acquired knowledge, offering practical tips for the daily management of patients with bone diseases.
Teaching form
- Frontal lecture
- Clinical cases and Problem Based Learning
All course activities will be held in English
Textbook and teaching resource
-
Harrison’s Principles of Internal Medicine
-
Camacho PL, et al. American Association of Clinical Endocrinologists/American College of Endocrinology clinical practice guidelines for the diagnosis and treatment of postmenopausal osteoporosis - 2020 update. Endocr Pract 2020, 26 (suppl 1): 1-46
-
Eastell R, Rosen CJ, Black DM, Cheung AM, Murad MH, Shoback D. Pharmacological Management of Osteoporosis in Postmenopausal Women: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2019, 104: 1595-622
-
Ralston SH, et al.
Diagnosis and management of Paget’s disease of bone in adults: a clinical guideline.
J Bone Min Res 2019: e3657 -
Tanaka Y, et al. The 2023 guidelines for the management and treatment of glucocorticoid‑induced osteoporosis. J Bone Min Metab 2024, 42: 143–54
-
Demay MB, et al. Vitamin D for the prevention of disease: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2024, 109: 1907-47
-
Bilezikian JP et al. International Workshop on Primary Hyperparathyroidism. Evaluation and Management of Primary Hyperparathyroidism: Summary Statement and Guidelines from the Fifth International Workshop. J Bone Miner Res. 2022, 37(11):2293-2314
Semester
March-April 2025
Assessment method
Oral examination covering the topics discussed in the lectures, with a focus on clinical problem-solving and critical thinking.
In-depth case analysis to apply theoretical knowledge to real-world clinical scenarios.
All assessments will be done in English language
Office hours
For appointments, contact the instructors via email:
Prof. Roberto Trevisan, e-mail roberto.trevisan@unimib.it
Dr. Silvia Ippolito, e-mail sippolto@asst-pg23.it
Dr. Sara Cassibba, e-mail scassibba@asst-pg23.it
Sustainable Development Goals
Key information
Staff
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Sara Cassibba