title: [Fragile from an early age: osteoporosis in a child with multiple severe disabilities].
abstract: BACKGROUND
  In the general population osteoporosis and low impact fractures occur mainly in the elderly and in people at increased risk due to disorders. In children with severe intellectual impairment and multiple disabilities severe osteoporosis and fractures of the long bones may be present from an early age.
  
  
  METHODS
  We describe a case of a 14-year-old girl with Dravet syndrome and multiple low impact fractures arising from minimal or unknown trauma.
  
  
  CONCLUSIONS
  In children with severe intellectual impairment and multiple disabilities the optimizing of bone quality and peak bone mass in order to prevent osteoporosis and fractures is recommended.
authors.affiliation: Erasmus MC, afd. Huisartsgeneeskunde en Geneeskunde voor Verstandelijke Gehandicapten, Rotterdam.
authors.forename: Sandra
authors.initials: S
authors.lastname: Mergler
authors.forename: Stella A
authors.initials: SA
authors.lastname: de Man
mesh_terms: D000293:Adolescent; D015519:Bone Density; D004831:Epilepsies, Myoclonic / Q000150:complications*; D005260:Female; D050723:Fractures, Bone / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D008607:Intellectual Disability; D010024:Osteoporosis / Q000209:etiology* / Q000517:prevention & control