case of severe primary hyperthyroidism, secondary hyperparathyroidism, adrenal insufficiency and osteoporosis with multiple fractures

ABSTRACT

Osteoporosis is generally known to be one of the most serious adverse effects of long-term corticosteroid administration. Recently it was discovered that corticosteroid-induced osteoporosis occurs not only in trabecular bone but also in cortical bone, leading to the reduction in the strength of bones and subsequent fracture. We report a case of severe hyperthyroidism, secondary hyperparathyroidism, adrenal insufficiency and osteoporosis with multiple fractures [mostlikely collectively due to chronic steroid intake because of steroid dependant bronchial asthma, hyperparathyroidism and hyperthyroidism] which was treated appropriately and made an uneventful recovery