A Case of Multiple Osteoporotic Compression Fractures in Young Man with Budd-Chiari Syndrome
Endocrinology and Metabolism
; : 334-339, 2012.
Article
in Ko
| WPRIM
| ID: wpr-184827
Responsible library:
WPRO
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Osteoporosis
/
Spine
/
Vitamin D
/
Warfarin
/
Calcium
/
Low Back Pain
/
Multiple Endocrine Neoplasia Type 1
/
Fractures, Compression
/
Budd-Chiari Syndrome
/
Hepatic Veins
Limits:
Adult
/
Humans
Language:
Ko
Journal:
Endocrinology and Metabolism
Year:
2012
Type:
Article