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[Pregnancy-associated osteoporosis. A new case].
1Service de Rhumatologie, CHU Ibn-Rochd, Casablanca, Maroc. kabi.fatiha@caramail.com
La Revue De Medecine Interne
|May 30, 2006
Summary
Pregnancy-associated osteoporosis is a rare condition causing fractures during pregnancy. Early diagnosis and treatment with calcium, vitamin D, and alendronate can improve bone density.
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Orthopedics
Background:
- Pregnancy-associated osteoporosis is a rare disorder with unknown pathophysiology.
- It can lead to significant skeletal complications during gestation or postpartum.
Observation:
- A 27-year-old primiparous patient presented with acute lumbar and right costal pain in late pregnancy.
- Radiographs revealed multiple vertebral compression fractures and a fractured 10th rib.
Findings:
- Osteodensitometry confirmed osteoporosis.
- Secondary causes of osteoporosis were excluded.
- Bone mineral density improved after 2 years of treatment with calcium, vitamin D, and alendronate.
Implications:
- Pregnancy-associated osteoporosis should be suspected in pregnant or postpartum women with thoracic or lumbar spine pain.
- Timely diagnosis and management are crucial to prevent vertebral and peripheral fractures.