Dabas A, Malhotra R, Kumar R, Khadgawat R. Idiopathic juvenile osteoporosis in a child: a four-year follow-up with review of literature.
J Pediatr Endocrinol Metab 2021;
34:1487-1490. [PMID:
34331423 DOI:
10.1515/jpem-2021-0233]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Accepted: 07/09/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVES
Childhood osteoporosis is an uncommon condition that usually develops secondary to underlying disease states. Idiopathic juvenile osteoporosis or early onset osteoporosis is a rare cause of primary osteoporosis in childhood associated with mutations in "bone fragility" genes.
CASE PRESENTATION
The index case presented with upper back pain and was detected to have multiple vertebral fractures. Further workup for the cause revealed a homozygous benign mutation in low-density lipoprotein receptor-related protein 5, which was also detected in the mother who remained asymptomatic till presentation. The child was successfully treated with intravenous zoledronate.
CONCLUSIONS
The case report describes the management approach and four-year follow-up of the child.
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