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Recent experimental and clinical findings in the skeleton associated with loss of estrogen hormone or estrogen receptor activity.
[aromatase deficiency]
Studies
on
rodent
models
and
rare
human
disorders
of
estrogen
production
or
response
have
revealed
an
increased
complexity
of
the
actions
of
estrogen
on
bone
.
ERalpha
disruption
in
human
males
results
in
delayed
epiphyseal
maturation
,
tall
stature
,
trabecular
thinning
,
marked
cortical
thinning
,
genu
valgum
and
significantly
reduced
cortical
vBMD
,
but
trabecular
number
is
preserved
and
there
is
normal
to
increased
periosteal
expansion
.
Aromatase
deficiency
results
overall
in
a
similar
phenotype
,
although
less
is
known
about
skeletal
architecture
.
Importantly
,
estrogen
replacement
in
these
individuals
,
even
if
provided
late
in
the
third
decade
,
may
normalize
aBMD
.
Less
certain
is
whether
there
is
complete
recovery
of
normal
skeletal
architecture
and
strength
.
Rodent
models
,
in
general
,
are
consistent
with
the
human
phenotype
but
are
confounded
by
inherent
differences
between
mouse
and
human
physiology
and
issues
regarding
the
completeness
of
the
different
knock-out
lines
.
Both
human
and
rodent
studies
suggest
that
residual
effects
of
estrogen
through
ERbeta
,
truncated
ERalpha
forms
or
nonclassical
estrogen
receptors
might
account
for
different
phenotypes
in
the
hERKO
man
,
aromatase
deficient
subjects
and
rodents
.
Importantly
,
androgen
,
particularly
by
preserving
trabecular
number
and
augmenting
both
periosteal
and
epiphyseal
growth
,
also
has
significant
actions
on
bone
.
Diseases
Validation
Diseases presenting
"also has significant actions on bone"
symptom
aromatase deficiency
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