title: Asymmetrical bone loss in a patient with poliomyelitis: an indication for anti-osteoporotic therapy.
abstract: BACKGROUND
  Poliomyelitis survivors suffer from post-myelitic complications including osteoporosis that are often overlooked.
  
  
  METHODS
  We report a case of a 49-year-old lady with history of poliomyelitis with resultant flaccid paralysis of the involved limb.
  
  
  RESULTS
  The bone mineral density revealed asymmetrical severe osteoporosis in the poliomyelitic limb. Given the risk of falls and fractures, she was commenced on oral bisphosphonate therapy.
  
  
  CONCLUSIONS
  Poliomyelitis is an important acquired risk factor for regional osteoporosis. This condition should be detected and treated in this cohort of patients who are clearly at higher risk of fractures.
authors.affiliation: Endocrine Unit, Department of Medicine, University Malaya Medical Centre, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Jeyakantha
authors.initials: J
authors.lastname: Ratnasingam
authors.affiliation: Endocrine Unit, Department of Medicine, University Malaya Medical Centre, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Luqman
authors.initials: L
authors.lastname: Ibrahim
authors.affiliation: Endocrine Unit, Department of Medicine, University Malaya Medical Centre, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Sharmila
authors.initials: S
authors.lastname: Paramasivam
authors.affiliation: Endocrine Unit, Department of Medicine, University Malaya Medical Centre, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Lee Ling
authors.initials: LL
authors.lastname: Lim
authors.affiliation: Endocrine Unit, Department of Medicine, University Malaya Medical Centre, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Alexander Tan Tong
authors.initials: AT
authors.lastname: Boon
authors.affiliation: Endocrine Unit, Department of Medicine, University Malaya Medical Centre, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Shireene
authors.initials: S
authors.lastname: Vethakkan
keywords: bone mineral density; osteoporosis; poliomyelitis