A Case of Multiple Osteoporotic Compression Fractures in Young Man with Budd-Chiari Syndrome.
10.3803/EnM.2012.27.4.334
- Author:
Sun Hwa KIM
1
;
Tae Un YANG
;
Byeong Kwang CHOI
;
Hye Jin YOO
;
Ji A SEO
;
Kyung Mook CHOI
;
Nan Hee KIM
;
Sin Gon KIM
;
Sei Hyun BAIK
;
Dong Seop CHOI
;
Hae Yoon CHOI
Author Information
1. Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. kahlua99@hanmail.net
- Publication Type:Case Report
- Keywords:
Budd-Chiari syndrome;
Liver cirrhosis;
Osteoporosis
- MeSH:
Adult;
Analgesics;
Budd-Chiari Syndrome;
Calcium;
Fractures, Compression;
Hepatic Veins;
Humans;
Liver Cirrhosis;
Low Back Pain;
Multiple Endocrine Neoplasia Type 1;
Osteoporosis;
Spine;
Vitamin D;
Warfarin;
Young Adult
- From:Endocrinology and Metabolism
2012;27(4):334-339
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Osteoporosis in young men is extremely rare. In this report, we demonstrate a rare case of multiple vertebral fractures discovered in a young man with Budd-Chiari syndrome without prior history of trauma. A 29-year-old man was diagnosed as Budd-Chiari syndrome 12 years ago and underwent a mesocaval shunt to relieve the hepatic vein obstruction and was on warfarin therapy. He suffered from low back pain and it was not relieved by analgesics. A T-L spine X-ray revealed multiple compression fractures and the z-score at lumbar spine was -3.7 which is below the expected range for that age. The patient was treated with calcium, vitamin D and bisphosphonate, and showed clinical improvement. This case highlights the importance of the investigation for secondary osteoporosis in young adults with an underlying disease that alters bone metabolism.
