Osteoporosis in a boy with hypogonadotropic hypogonadism.

Autor: Arisaka, Madoka, Arisaka, Osamu, Hosaka, Atsuto, Tokita, Akifumi, Shimura, Naoto, Yabuta, Keijiro, Kawaguchi, Yoshindo
Zdroj: Journal of Bone & Mineral Metabolism; Aug1989, Vol. 7 Issue 2, p18-22, 5p
Abstrakt: We describe a 16-year-old boy with idiopathic hypogonadotropic hypogonadism associated with osteoporosis. Osteoporotic lesions of the hands, skull and spine were shown by routine radiography. Single-photon absorptiometry at the distal radius confirmed a significant reduction of bone mineral density. The parathyroid hormone-vitamin D axis and calcitonin secretion showed no derangement. Reduced bone mineral density in association with relatively elevated levels of serum osteocalcin and alkaline phosphatase suggested an increased bone turnover (so-called high-turnover osteoporosis). Tetosterone therapy for 3 months significantly increased the radial bone mineral density. This case illustrates that testosterone deficiency during puberty seems to alter the bone mineral status, impairing bone mineralization and bone remodeling. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index