• Medicine · Nov 2017

    Review Case Reports

    Approach to the patient with pregnancy and lactation-associated osteoporosis: A case report and a review of the literature.

    • Min Zhang, Ping Chen, Bin Li, Juan Du, Ting Pan, and Jingyan Chen.
    • aDepartment of Eldly Endocrinology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital bDepartment of Endocrinology, Zigong No. 4 People's Hospital, Sichuan, China.
    • Medicine (Baltimore). 2017 Nov 1; 96 (46): e8671.

    RationalePregnancy 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 ConcernsA 23-year-old woman who suffered from lumbago and fractures in the vertebral column 1 month after delivery.DiagnosisPregnancy and lactation-associated osteoporosis.InterventionsCombination therapy of calcium and vitamin D were used for treatment, as well as regular follow-up.OutcomesThe patient's back pain had decreased significantly, the bone metabolic index, bone mineral density (BMD) had improved and she did not experience any recurrence.LessonsEarly 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.

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