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Osteoporosis associated with pregnancy: a case report


Authors: Lokočová Eva;  Horák Pavel
Authors place of work: III. interní klinika – nefrologická, revmatologická a endokrinologická a LF UP a FN Olomouc
Published in the journal: Clinical Osteology 2021; 26(1): 53-57
Category:

Summary

Osteoporosis associated with pregnancy and lactation is rare clinical condition resulting in acute back or hip pain in the event of an osteoporotic fracture. The etiology and pathogenesis of osteoporosis in pregnancy is not clear, the influence of abnormal hormonal effects on calcium metabolism and genetic predisposition is assumed, and pre-existing osteopathy is also a question. A detailed examination to assess secondary etiology is always necessary. The treatment of osteoporosis associated with pregnancy and lactation is based on adequate calcium and vitamin D substitution. Indications for therapy of osteoporosis are assessed individually, taking into account fractures or decreased BMD, an important indicator is BMD after lactation.

Keywords:

densitometry – fractures – lactation – osteoporosis – pregnancy


Zdroje
  1. Kim TH, Lee HH, Jeon DS et al. Compression fracture in postpartum osteoporosis. J Bone Metab 2013; 20(2): 115–118. Dostupné z DOI: <http://doi 10.11005/jbm.2013.20.2.115>.
  2. Peris P, Guanabens N, Monegal A et al. Pregnancy associated osteoporosis: the familiar effect. Clin Exp Rheumatol 2002; 20(5): 697–700.
  3. Holmberg MD, Sievanen H, Tuimala R. Changes in bone mineral density during pregnancy and postpartum: prospective data on five women. Osteoporos Int 1999; 10(1): 41–46. Dostupné z DOI: <http://doi 10.1007/s001980050192>.
  4. Kovacs CS, Kronenberg HM. Pregnancy and lactation. In: Bilezikian JP. Primer on the metabolic bone diseases and disorders of mineral metabolism. 9th ed. Wiley Blackwell (USA) 2019: 147–153. ISBN 9781119266563.
  5. Bayer M. Osteoporóza v graviditě a při laktaci. In: Džupa V, Jenšovský J. Diagnostika a léčba osteoporózy a dalších onemocnění skeletu. Karolinum: Praha 2018: 135–139. ISBN 978802463761–9.
  6. Pentyala S, Rahman A, Mysore P et al. Osteoporosis associated with pregnancy. iMedPubJournals. 2015; 7, 3:6. Dostupné z WWW: <https://www.archivesofmedicine.com/medicine/osteoporosis-associated-with-pregnancy>.
  7. Kovacs CS. Maternal mineral and bone metabolism during pregnancy, lactation, and post-weaning recovery. Physiol Rev 2016; 96(2): 449–547. Dostupné z DOI: <http://doi 10.1152/physrev.00027.2015>.
  8. Salari P, Abdollahi M. The influence of pregnancy and lactation on maternal bone health: a systematic review. J Family Reprod Health 2014; 8(4): 135–148.
  9. Mamillapalli R, VanHouten J, Dann P et al. Mammary-specific ablation of the calcium-sensing receptor during lactation alters maternal calcium metabolism, milk calcium transport, and neonatal calcium accural. Endocrinology 2013; 154(9): 3031–3042. . Dostupné z DOI: <http://doi 10.1210/en.2012–2195>.
  10. Tsvetov G, Levy S, Benbassat C et al. Influence of number of deliveries and total breast-feeding time on bone mineral density in premenopausal and young postmenopausal women. Maturitas 2014; 77(3): 249–254. Dostupné z DOI: <http://doi 10.1016/j.maturitas.2013.11.003>.
  11. Khoo CC, Woo J, Leung PC et al. Determinants of bone mineral density in older postmenopausal women. Climacteric 2011; 14(3): 378–383. Dostupné z DOI: <http://doi 10.3109/13697137.2010.548566>.
  12. More C, Bettembuk P, Bhattoa HP et al. The effects of pregnancy and lactation on bone mineral density. Osteoporos Int 2001; 12(9): 732–737. Dostupné z DOI: <http://doi 10.1007/s001980170048>.
  13. Cummings SR, Nevitt MC, Browner WS et al. Risk factors for hip fracture in white women. Study of osteoporotic fractures research group. N Engl J Med 1995; 332(12): 767–773. Dostupné z DOI: <http://doi 10.1056/NEJM199503233321202>.
  14. Michaelsson K, Baron JA, Farahmand BY et al. Influence of parity and lactation on hip fracture risk. Am J Epidemiol 2001; 153(12): 1166–1172. Dostupné z DOI: <http://doi 10.1093/aje/153.12.1166>.
  15. Cohen A. Premenopausal osteoporosis. Endocrinol Metab Clin North Am 2017; 46(1): 117–133. Dostupné z DOI: <http://doi 10.1016/j.ecl.2016.09.007>.
  16. Pikner R. Laboratorní vyšetření v klinické osteologii. In: Džupa V, Jenšovský J (eds) et al. Diagnostika a léčba osteoporózy a dalších onemocnění skeletu. Karolinum: Praha 2018: 48–62. ISBN 978802463761–9.
  17. Payer J. Prevencia a liečba osteoporózy. In: Killinger Z. Osteoporóza. Herba: Bratislava 2012: 185–225. ISBN 9788089171941.
  18. Choe EY, Song JE, Park KH et al. Effect of teriparatide on pregnancy and lactation-associated osteoporosis with multiple vertebral fractures. J Bone Miner Metab 2012; 30(5): 596–601. Dostupné z DOI: <http://doi 10.1007/s00774–011–0334–0>.
  19. Lampropoulou-Adamidou K, Trovas G, Stathopoulos IP et al. Case report: Teriparatide treatment in a case of severe pregnancy and lactation-associated osteoporosis. Hormones (Athens) 2012; 11(4): 495–500. Dostupné z DOI: <http://doi 10.14310/horm.2002.1383>.
  20. Ijuin A, Yoshikata H, Asano R et al. Teriparatide and denosumab treatment for pregnancy and lactation-associated osteoporosis with multiple vertebral fractures: a case study. Taiwan J Obstet Gynecol 2017; 56(6): 863–866. Dostupné z DOI: <http://doi 10.1016/j.tjog.2017.10.028>.
  21. Sokal A, Elefant E, Leturcq T et al. Pregnancy and newborn outcomes after exposure to bisphosphonates: a case-control study. Osteoporos Int 2019; 30(1): 221–229. Dostupné z DOI: <http://doi 10.1007/s00198–018–4672–9>.
  22. Stathopoulos IP, Liakou CG, Katsalira A et al. The use of bisphosphonates in women prior to or during pregnancy and lactation. Hormones (Athens) 2011; 10(4): 280–291. Dostupné z DOI: <http://doi 10.14310/horm.2002.1319>.
Štítky
Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology Osteology

Článok vyšiel v časopise

Clinical Osteology

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2021 Číslo 1
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