A Case of Multiple Osteoporotic Compression Fractures in Young Man with Budd-Chiari Syndrome
Endocrinology and Metabolism
;
: 334-339, 2012.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteoporose
/
Coluna Vertebral
/
Vitamina D
/
Varfarina
/
Cálcio
/
Dor Lombar
/
Neoplasia Endócrina Múltipla Tipo 1
/
Fraturas por Compressão
/
Síndrome de Budd-Chiari
/
Veias Hepáticas
Limite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Endocrinology and Metabolism
Ano de publicação:
2012
Tipo de documento:
Artigo
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