Approach to the patient with pregnancy and lactation-associated osteoporosis: A case report and a review of the literature. Issue 46 (November 2017)

• Record Type: Journal Article
• Authors: Zhang, Min; Chen, Ping; Li, Bin; Du, Juan; Pan, Ting; Chen, Jingyan
• Other Names: Comim. Fabio section editor.
• Is Part Of: Medicine. Volume 96:Issue 46(2017)
• Publication Date: 2017-11
• Subjects: pregnancy and lactation-associated osteoporosis -- vertebral fracture -- vitamin D; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000008671
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Pregnancy and lactation-associated osteoporosis (PLO) is very rare, but it can cause severe vertebral compression fractures with disabling back pain. Although it is a rare, PLO must be kept in mind in the differential diagnosis in patients presenting with low back pain during or after pregnancy. Patient concerns: A 23-year-old woman who suffered from lumbago and fractures in the vertebral column 1 month after delivery. Diagnosis: Pregnancy and lactation-associated osteoporosis. Interventions: Combination therapy of calcium and vitamin D were used for treatment, as well as regular follow-up. Outcomes: The patient's back pain had decreased significantly, the bone metabolic index, bone mineral density (BMD) had improved and she did not experience any recurrence. Lessons: Early diagnosis and treatment of calcium and vitamin D, as well as the efficacy of PLO intervention monitoring and evaluation are critical for the success of treatment.