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Rev Med Interne. 2006 Jul;27(7):558-60. Epub 2006 May 15.

[Pregnancy-associated osteoporosis. A new case].

[Article in French]

Author information

1
Service de Rhumatologie, CHU Ibn-Rochd, Casablanca, Maroc. kabi.fatiha@caramail.com

Abstract

INTRODUCTION:

Pregnancy-associated osteoporosis is a rare disorder and its pathophysiology remains unknown. EXEGISIS: We report a case of pregnancy-associated osteoporosis in a 27-year-old primiparous patient, revealed by acute lumbar pain and a right costal pain during the last month of pregnancy. The standard radiographs showed multiple vertebral compression fracture and a 10th rib fracture. The diagnosis of osteoporosis was established by osteodensitometry. Diagnostic work-up excluded a secondary osteoporosis, and the outcome was favourable with an increase of bone mineral density after 2 years of treatment with calcium, vitamin D and alendronate 10 mg/j.

CONCLUSION:

Although rare, diagnosis of pregnancy-associated osteoporosis should be suspected when thoracic or lumbar spine pain occur during pregnancy or in the post-partum period as it can lead to vertebral or peripheral fractures.

PMID:
16730397
DOI:
10.1016/j.revmed.2006.04.005
[Indexed for MEDLINE]

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