title: [Osteoporotic vertebral fractures in systemic mastocytosis without skin involvement].
abstract: Radiological investigation of the vertebral column in two patients with low-back pain (53-year-old woman and a 52-year-old man) revealed unusually marked osteoporosis and sintering fractures of the 3rd, and 1st and 4th lumbar vertebrae, respectively. Biochemical tests failed to provide any evidence about metabolic or endocrinological abnormality. Iliac crest biopsy showed mastocytosis. There were no skin changes in either patient. Additional examinations excluded involvement of any internal organs. Despite treatment with calcium, sodium fluoride, vitamin D3 and calcitonin in the woman, and aspirin and chromoglycinic acid in the man the osteoporosis has slowly progressed during the last 7 and 5 years, but the disease has remained limited to the skeletal system. In a case of unusually marked osteoporosis, mastocytosis should be included in the differential diagnosis even in the absence of urticaria pigmentosa.
authors.affiliation: Abteilung Medizinische Poliklinik, Universität Marburg.
authors.forename: W
authors.initials: W
authors.lastname: Pankow
authors.forename: K
authors.initials: K
authors.lastname: Ehlenz
authors.forename: T
authors.initials: T
authors.lastname: Buhr
authors.forename: K H
authors.initials: KH
authors.lastname: Pflüger
authors.forename: P
authors.initials: P
authors.lastname: von Wichert
mesh_terms: D001241:Aspirin / Q000627:therapeutic use; D001856:Bone Marrow Examination; D002116:Calcitonin / Q000627:therapeutic use; D002118:Calcium / Q000627:therapeutic use; D002762:Cholecalciferol / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries*; D008297:Male; D008415:Mastocytosis / Q000150:complications* / Q000175:diagnosis; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications* / Q000188:drug therapy / Q000209:etiology; D012969:Sodium Fluoride / Q000627:therapeutic use; D016103:Spinal Fractures / Q000209:etiology*; D013997:Time Factors
chemical_list: D002762:Cholecalciferol; D012969:Sodium Fluoride; D002116:Calcitonin; D001241:Aspirin; D002118:Calcium
vernacular_title: Osteoporotische Wirbelkörperfrakturen bei systemischer Mastozytose ohne Hautbeteiligung.