Postpartum depression co-occurring with lactation-related osteoporosis.
BACKGROUND
Postpartum depression may present with somatic complaints. However, all somatic symptoms do not indicate a possible depression diagnosis. One of the clinical pictures related to physical complaints is osteoporosis in late pregnancy and lactation (PLO); this is a rare disorder, and its pathophysiology remains unknown.


OBJECTIVE
The authors report here a case of PLO and depression in a 35-year-old primiparous patient with acute low back pain and postpartum depression 4 weeks after caesarean section.


METHODS
Diagnosis was made by DXA scan and magnetic resonance imaging. Depression was assessed with the Edinburgh Postnatal Depression Scale.


RESULTS
The patient achieved pain relief through treatment with calcium, vitamin D, calcitonin, weekly alendronate, and venlafaxine for depression.


CONCLUSIONS
PLO and depression may have a common etiopathogenesis that needs further investigation.
Dept. of Psychiatry, Sisli Etfal Teaching and Research Hospital, Istanbul, Turkey. basakaykan@ttmail.com
Basak
B
Ozcelik
Aykan
A
Ozcelik
Mursel
M
Debre
D000328:Adult; D019386:Alendronate / Q000627:therapeutic use; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D002116:Calcitonin / Q000627:therapeutic use; D002118:Calcium / Q000627:therapeutic use; D003511:Cyclohexanols / Q000627:therapeutic use; D019052:Depression, Postpartum / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D007774:Lactation; D017116:Low Back Pain / Q000453:epidemiology; D010024:Osteoporosis / Q000150:complications* / Q000188:drug therapy / Q000209:etiology*; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use; D000069470:Venlafaxine Hydrochloride; D014807:Vitamin D / Q000627:therapeutic use
D019386:Alendronate; D050071:Bone Density Conservation Agents; D002116:Calcitonin; D002118:Calcium; D003511:Cyclohexanols; D017367:Selective Serotonin Reuptake Inhibitors; D000069470:Venlafaxine Hydrochloride; D014807:Vitamin D