Osteoporotische Wirbelkörperfrakturen bei systemischer Mastozytose ohne Hautbeteiligung
| Autor: | P. v. Wichert, W. Pankow, K. Ehlenz, K.-H. Pflüger, T. Buhr |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Aspirin business.industry Osteoporosis General Medicine Lumbar vertebrae medicine.disease Gastroenterology chemistry.chemical_compound medicine.anatomical_structure chemistry Calcitonin Internal medicine Sodium fluoride medicine Urticaria pigmentosa Differential diagnosis business Vertebral column medicine.drug |
| Zdroj: | DMW - Deutsche Medizinische Wochenschrift. 117:1717-1722 |
| ISSN: | 1439-4413 0012-0472 |
| DOI: | 10.1055/s-2008-1062502 |
| Popis: | Radiological investigation of the vertebral column in two patients with low-back pain (53-year-old woman and a 52-year-old man) revealed unusually marked osteoporosis and sintering fractures of the 3rd, and 1st and 4th lumbar vertebrae, respectively. Biochemical tests failed to provide any evidence about metabolic or endocrinological abnormality. Iliac crest biopsy showed mastocytosis. There were no skin changes in either patient. Additional examinations excluded involvement of any internal organs. Despite treatment with calcium, sodium fluoride, vitamin D3 and calcitonin in the woman, and aspirin and chromoglycinic acid in the man the osteoporosis has slowly progressed during the last 7 and 5 years, but the disease has remained limited to the skeletal system. In a case of unusually marked osteoporosis, mastocytosis should be included in the differential diagnosis even in the absence of urticaria pigmentosa. |
| Databáze: | OpenAIRE |
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