چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| علیرضا خبازی اسکویی | دوم |
| سپیده تحسینی تکانتپه | اول |
| عنوان | متن |
|---|---|
| خلاصه مقاله | Aim: We present a case of pregnancy and lactation-associated osteoporosis (PLO) after Gonadotropin releasing hormone (GnRH) therapy that was successfully treated with teriparatide. Patient: A 34-year-old primiparous woman developed mechanical low back pain (LBP) in the 8th months of pregnancy. LBP exacerbated during the pregnancy and reached to maximum after delivery. Spinal radiographs and magnetic resonance imaging detected fractures in the T12-L3. Bone mineral density (BMD) was measured using dual-energy x-ray absorptiometry and showed osteoporosis. Her past medical history was positive for receiving of GnRH one month before pregnancy. After diagnosis of PLO, breastfeeding was stopped. Calcium, vitamin D3 and teriparatide 20 μg/d were started. Ten days after the treatment, improvement in the patient's pain and mobility was observed. Six months after the treatment, control BMD showed significant increase in the lumbar and hip BMD. No new fractures developed during the treatment. Conclusions: Treatment with GnRH may be a risk factor for PLO. Treatment of severe PLO using teriparatide combined with calcium and vitamin D supplementation and stopping of breastfeeding may be effective ways of increasing bone density and preventing new fractures. |
| کلمات کلیدی | Treatment, Pregnancy and Lactation Associated Osteoporosis, teriparatide |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| IMG_0005.jpg | 1395/08/01 | 744352 | دانلود |
| Invitation CSA poosters.pdf | 1395/08/01 | 143134 | دانلود |
