Osteolysis of the pelvis presenting as insufficiency fracture in a patient with rheumatoid arthritis.
Physician awareness of the risk of osteoporosis and subsequent fractures in a patient with a history of long-term steroid treatment is high. The tendency to assume that a fracture is owing to steroid-induced osteoporosis may result in an unnecessarily intense antiresorptive treatment regimen for a patient who may not have osteoporosis. I report here about a patient with rheumatoid arthritis who presented with bone fracture despite antiresorptive therapy and without evidence of osteoporosis by bone mineral density testing.
Duston
M
M
mduston@Actel.net.
D015502:Absorptiometry, Photon; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000000981:diagnostic imaging / Q000378:metabolism; D015519:Bone Density; D003937:Diagnosis, Differential; D005260:Female; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology* / Q000378:metabolism; D006801:Humans; D008875:Middle Aged; D010014:Osteolysis / Q000150:complications* / Q000000981:diagnostic imaging / Q000378:metabolism; D010024:Osteoporosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000378:metabolism; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000378:metabolism