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A Case of Multiple Osteoporotic Compression Fractures in Young Man with Budd-Chiari Syndrome

Year: 2012

Type: article

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 zscore 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.(

Source: Endocrinology and Metabolism

DOI: 10.3803/enm.2012.27.4.334