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Severe Osteoporosis With Pathogenic LRP5 Variant
Felicity Stringer1, Natalie A Sims2,3, Nirupa Sachithanandan1,3
1Department of Endocrinology, St Vincent's Hospital Melbourne, Fitzroy, Melbourne, VIC 3065, Australia.
JCEM Case Reports
|February 26, 2024
Summary
A young woman with severe osteoporosis and multiple fractures was diagnosed with a genetic cause due to a rare LRP5 gene variant. Further research is needed to define optimal treatment strategies for this condition.
Area of Science:
- Genetics
- Endocrinology
- Pediatrics
Background:
- Osteoporosis in young adults can stem from genetic factors, not just lifestyle.
- Identifying genetic causes is crucial for targeted treatment.
Observation:
- A 24-year-old female presented with a history of numerous fractures since childhood.
- Risk factors included chronic constipation, vitamin D deficiency, and prolonged high-dose steroid use for eczema.
Findings:
- Exome screening identified a likely pathogenic variant (Class 4) in the LRP5 gene.
- This variant is associated with osteoporosis, indicating a genetic etiology.
Implications:
- This case highlights the importance of genetic screening for early-onset osteoporosis.
- Optimal treatment for LRP5-related osteoporosis requires further investigation.
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