J Bone Metab.  2013 Nov;20(2):111-114. 10.11005/jbm.2013.20.2.111.

A Case of Teriparatide on Pregnancy-Induced Osteoporosis

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Chung-Ang University, Seoul, Korea. drahn@cau.ac.kr
  • 2Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea.
  • 3Department of Obstetrics and Gynecology, College of Medicine, Chung-Ang University, Seoul, Korea.

Abstract

Pregnancy-induced osteoporosis is a rare disorder characterized by fragility fracture and low bone mineral density (BMD) during or shortly after pregnancy, and its etiology is still unclear. We experienced a case of a 39-year-old woman who suffered from lumbago 3 months after delivery. Biochemical evidence of increased bone resorption is observed without secondary causes of osteoporosis. Radiologic examination showed multiple compression fractures on her lumbar vertebrae. We report a case of patient with pregnancy-induced osteoporosis improved her clinical symptom, BMD and bone turnover marker after teriparatide therapy.

Keyword

Osteoporosis; Pregnancy; Teriparatide

MeSH Terms

Adult
Bone Density
Bone Resorption
Female
Fractures, Compression
Humans
Low Back Pain
Lumbar Vertebrae
Osteoporosis*
Pregnancy
Teriparatide*
Teriparatide

Figure

  • Fig. 1 Supine (A) and lateral (B) view of lumbar spine show compression fractures at L1-L5.

  • Fig. 2 Magnetic resonance imaging (T1 and T2 weighted images) of lumbar spine. (A) T1 weighted images show ill-defined hypointense lesion in L1-L5. (B) T2 weighted images show high signal intensity in the lesion.

  • Fig. 3 Bone scan shows hot uptake on 6-8th left ribs and L1-L5 vertebrae.


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