| A Case of Postpregnancy Spinal Osteoporosis Showing Fluctuation
of Serum Calcium During Treatment |
| 치료 관찰 중 혈액 칼슘의 급격한 변화를 보인
임신 후 골다공증 1예 |
| 백승숙,진상욱,박소희,황유철,정인경,안규정,정호연 |
| 경희대학교 의과대학 동서신의학병원 내분비대사내과 |
|
|
| Abstract |
|
Pregnancy-associated osteoporosis is a rare condition, of which the etiology and pathogenesis of this disease are
uncertain, and thus its managements are not established. We report a 32-year-old woman who was troubled with lower
back pain from her third trimester. Both her bone formation marker and bone resorption marker were increased. The
radiological examinations showed eight vertebral fractures and bone mineral density of lumbar spine measured by dual
energy X-ray absorptiometry was markedly low. There were no secondary causes of osteoporosis based upon laboratory
and radiological assessments. According to these findings, she was diagnosed as pregnancy-associated osteoporosis and
was treated with medication, bed rest and back braces. Interestingly, as she underwent treatment, her serum calcium
level was changed dynamically and the follow up exam after three months of treatment revealed a solid increase of
bone mineral density with pain reduction. Thus, a puerperal woman who suffers from back pain should be considered as
possible post-pregnancy osteoporosis in her differential diagnosis.
[Korean Journal of Bone Metabolism, 17(1): 49-53, 2010] |
| Key Words:
Osteoporosis, Pregnancy, Vertebral fracture |
|
PDF Links
Full text via DOI
Download Citation
