title: [Osteoporosis in pregnancy and lactation].
abstract: In the second half of the twentieth century different patterns of bone mass changes in young women were described in association with pregnancy and lactation. Pregnancy-associated osteoporosis may present as predominant bone loss from the hip; there is a second form with vertebral involvement; and it may present with fractures at atypical sites such as the sacrum. Long-term lactation is also associated with increased bone loss. In our work we describe a clinical case of a 34-year old lactating woman, presenting at the fourth month after unremarkable childbearing with vertebral fractures and overt osteoporosis. We described the diagnostic procedures and therapeutic interventions. A literature review is also presented. In conclusion, osteoporosis of pregnancy and lactation should not stay out of the clinician's focus and requires a multi-disciplinary approach.
authors.forename: P
authors.initials: P
authors.lastname: Popivanov
authors.forename: M
authors.initials: M
authors.lastname: Boianov
mesh_terms: D015502:Absorptiometry, Photon; D000328:Adult; D015519:Bone Density / Q000187:drug effects; D001842:Bone and Bones / Q000187:drug effects / Q000378:metabolism / Q000473:pathology; D001971:Bromocriptine / Q000627:therapeutic use; D002118:Calcium / Q000378:metabolism* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007774:Lactation; D010024:Osteoporosis / Q000150:complications* / Q000378:metabolism; D010146:Pain / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000378:metabolism*; D016103:Spinal Fractures / Q000175:diagnosis / Q000209:etiology / Q000378:metabolism
chemical_list: D001971:Bromocriptine; D002118:Calcium