A Case with Multiple Punched-out Lesions in the Skull and Generalized Fractures Associated with Steroid-induced Osteoporosis.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.11005/jbm.2012.19.2.133
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Sun Hee KO
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Kwan Yong LEE
			        		
			        		;
		        		
		        		
		        		
			        		Kyung Hee KIM
			        		
			        		;
		        		
		        		
		        		
			        		Young Min KIM
			        		
			        		;
		        		
		        		
		        		
			        		Kyeong Soo LEE
			        		
			        		;
		        		
		        		
		        		
			        		Soo Jeong YEOM
			        		
			        		;
		        		
		        		
		        		
			        		Moo Il KANG
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Internal Medicine, Division of Endocrinology and Metabolism, The Catholic University of Korea, Seoul, Korea. mikang@catholic.ac.kr
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Case Report
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Fracture;
			        		
			        		
			        		
				        		Punched-out lesions;
			        		
			        		
			        		
				        		Steroid-induced osteoporosis
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Humans;
				        		
			        		
				        		
					        		Humeral Fractures;
				        		
			        		
				        		
					        		Incidence;
				        		
			        		
				        		
					        		Male;
				        		
			        		
				        		
					        		Middle Aged;
				        		
			        		
				        		
					        		Osteoporosis;
				        		
			        		
				        		
					        		Ribs;
				        		
			        		
				        		
					        		Risk Assessment;
				        		
			        		
				        		
					        		Skull
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Journal of Bone Metabolism
	            		
	            		 2012;19(2):133-138
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Steroid-induced osteoporosis is the most common cause of secondary osteoporosis and accounts for one-fifth of all osteoporosis cases. The fracture incidence under steroid may be as high as 50%. However, many patients do not undergo appropriate risk assessment and treatment before and after steroid exposure. We described a 56-year-old male patient with multiple punched-out lesions in skull unusually as well as vertebral, fibular, rib and humeral fractures during steroid use without proper management.