Treatment of atypical femoral fracture with teriparatide: case report
Authors:
Rosa Jan 1; Bouda Václav 2; Kasalický Petr 1
Authors place of work:
Osteocentrum, Affidea Praha s. r. o.
1; Oddělení zobrazovacích metod, Affidea Praha s. r. o.
2
Published in the journal:
Clinical Osteology 2020; 25(2): 93-98
Category:
Summary
Atypická fraktura femoru (AFF) je vzácným nežádoucím účinkem dlouhodobé aplikace bisfosfonátů nebo denosumabu. Předkládáme popis případu pacientky léčené pro osteoporózu bisfosfonáty (celkem 104 měsíců). Na základě prodromálních příznaků byla zobrazovacími metodami (RTG, MRI, kostní scintigrafie) diagnostikována inkompletní atypická fraktura levé kosti stehenní. Přerušení podávání bisfosfonátu, odlehčení končetiny a šestiměsíční aplikace teriparatidu vedly ke zhojení zlomeniny. U pacientů užívajících antiresorpční léčbu osteoporózy po dobu delší než 4 roky je nezbytné pravidelné dotazování na prodromální příznaky AFF.
Keywords:
teriparatide – bisphosphonates – atypical femoral fracture
Zdroje
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Štítky
Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology OsteologyČlánok vyšiel v časopise
Clinical Osteology
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