Juvenile Idiopathic Osteoporosis - a case study

Juvenile Idiopathic Osteoporosis – a case study McDonnell C, Gibbons C, Murphy N, Kilbane M, van der Kamp S, McKenna M.

Case Study: • 11.9 year old female presented with 5 month history of back pain. • No family history of osteoporosis • Two recent forearm fractures following minor falls. • Lumbar lordosis on clinical examination • Early pubertal changes on presentation MRI spine: Extensive osteoporotic changes of entire spine with compression fractures of T12, L3 and T8

Initial bloods

Result

Ref. range

Units

Calcium

2.31

2.2-2.5

mmol/L

Phosphate

1.41

1.2-2.0

mmol/L

PTH

56

11-67

ng/L

Vitamin D

62

>50

nmol/L

Alk Phos

301

50-370

U/L

Ur. Ca:Cr

0.38