Insufficiency Fractures Related to Low-Dose Adefovir Dipivoxil Treatment for Chronic Hepatitis B
The Medical Journal of Malaysia
;
: 38-41, 2015.
Article
Dans Anglais
| WPRIM
| ID: wpr-630463
ABSTRACT
We present a case of a 53-year-old woman who developed multifocal insufficiency fractures associated with adefovir dipivoxil (ADV) induced osteomalacia, including recurring metatarsal insufficiency fractures and a subtrochanteric femoral insufficiency fracture requiring surgical fixation. She had received low-dose ADV treatment for 59 months for chronic hepatitis B viral infection at the time of presentation with subtrochanteric fracture. Imaging evidence of multifocal insufficiency fractures and metabolic disease on background of hypophosphatemia is attributed to hypophosphatemic osteomalacia from adefovir-induced renal proximal tubular dysfunction. Radiologists and clinicians should be aware of the possibility of insufficiency fractures in patients receiving ADV therapy to avoid delayed diagnosis and progression of high-risk proximal femoral fractures.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Ostéomalacie
langue:
Anglais
Texte intégral:
The Medical Journal of Malaysia
Année:
2015
Type:
Article
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