A Case of Multiple Osteoporotic Compression Fractures in Young Man with Budd-Chiari Syndrome
Endocrinology and Metabolism
;
: 334-339, 2012.
Article
in Korean
| WPRIM
| ID: wpr-184827
ABSTRACT
Osteoporosis in young men is extremely rare. In this report, we demonstrate a rare case of multiple vertebral fractures discovered in a young man with Budd-Chiari syndrome without prior history of trauma. A 29-year-old man was diagnosed as Budd-Chiari syndrome 12 years ago and underwent a mesocaval shunt to relieve the hepatic vein obstruction and was on warfarin therapy. He suffered from low back pain and it was not relieved by analgesics. A T-L spine X-ray revealed multiple compression fractures and the z-score at lumbar spine was -3.7 which is below the expected range for that age. The patient was treated with calcium, vitamin D and bisphosphonate, and showed clinical improvement. This case highlights the importance of the investigation for secondary osteoporosis in young adults with an underlying disease that alters bone metabolism.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteoporosis
/
Spine
/
Vitamin D
/
Warfarin
/
Calcium
/
Low Back Pain
/
Multiple Endocrine Neoplasia Type 1
/
Fractures, Compression
/
Budd-Chiari Syndrome
/
Hepatic Veins
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Endocrinology and Metabolism
Year:
2012
Type:
Article
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