[Pregnancy-associated osteoporosis. A new case].
BACKGROUND
Pregnancy-associated osteoporosis is a rare disorder and its pathophysiology remains unknown. EXEGISIS: We report a case of pregnancy-associated osteoporosis in a 27-year-old primiparous patient, revealed by acute lumbar pain and a right costal pain during the last month of pregnancy. The standard radiographs showed multiple vertebral compression fracture and a 10th rib fracture. The diagnosis of osteoporosis was established by osteodensitometry. Diagnostic work-up excluded a secondary osteoporosis, and the outcome was favourable with an increase of bone mineral density after 2 years of treatment with calcium, vitamin D and alendronate 10 mg/j.


CONCLUSIONS
Although rare, diagnosis of pregnancy-associated osteoporosis should be suspected when thoracic or lumbar spine pain occur during pregnancy or in the post-partum period as it can lead to vertebral or peripheral fractures.
Kabi
F
F
Service de Rhumatologie, CHU Ibn-Rochd, Casablanca, Maroc. kabi.fatiha@caramail.com
Mkinsi
O
O
Zrigui
J
J
D000328:Adult; D019386:Alendronate / Q000627:therapeutic use; D015519:Bone Density / Q000187:drug effects; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis; D010024:Osteoporosis / Q000175:diagnosis*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011859:Radiography; D012253:Rib Fractures / Q000000981:diagnostic imaging; D016103:Spinal Fractures / Q000000981:diagnostic imaging; D013904:Thoracic Vertebrae / Q000293:injuries
D050071:Bone Density Conservation Agents; D019386:Alendronate