For patients <65 with significant intermittent steroid exposure who otherwise do not have risk factors for osteoporosis, when, if ever, do you recommend considering DEXA screening?

What length of steroid exposure would you consider significant enough to get a DEXA scan?

• >1 weekly course of oral prednisone annually for 5+ years
• 2-3 weekly courses of oral prednisone annually for 5+ years
• Any amount of repeated oral steroid exposure over a year
• Continuous oral steroid exposure for 6+ months
• It depends and should be re-examined with every oral steroid prescribed
• Other