Pregnancy associated osteoporosis--a case report.
Loss of bone mineral density (BMD)--usually temporary--occurs during pregnancy and lactation. Pregnancy associated osteoporosis (PAO) is an uncommon disease of unknown etiology. We present a case of a 35-year old woman with PAO, manifesting initially at the end of the first pregnancy as back pain. It reappeared in the second pregnancy four years later X-ray revealed multilevel compression fractures of Th12, L1, L2. DEXA showed L2-L4 T-score: -3.3 SD, hip T-score: -2.09 SD. Laboratory findings were irrelevant. She was put on antiresorptive treatment, calcium and vitamin D. Although there has been an improvement in BMD, the patient is a definite candidate for vertebral kyphoplasty due to disabling pain.
Katedra i Zakład Medycyny Rodzinnej, Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu, Polska. dytfeld@poczta.onet.pl
Joanna
J
Dytfeld
Wanda
W
Horst-Sikorska
D000328:Adult; D019386:Alendronate / Q000627:therapeutic use; D001416:Back Pain / Q000000981:diagnostic imaging* / Q000209:etiology; D015519:Bone Density; D050071:Bone Density Conservation Agents / Q000008:administration & dosage; D002136:Calcium, Dietary / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging* / Q000473:pathology; D010024:Osteoporosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D011859:Radiography; D014807:Vitamin D / Q000008:administration & dosage
D050071:Bone Density Conservation Agents; D002136:Calcium, Dietary; D014807:Vitamin D; D019386:Alendronate