A RARE CASE OF PREGNANCY LACTATION-INDUCED OSTEOPOROSIS
Keywords:
PREGNANCY, LACTATION-INDUCED, OSTEOPOROSISAbstract
INTRODUCTION/BACKGROUND
Pregnancy and lactation-induced osteoporosis (PLO) is a rare condition occurring for the first time in pregnancy or postpartum period while breastfeeding. Here, we report a rare case of PLO which presented during postpartum of first pregnancy.
CASE
A 27-year-old female presented with low back pain 4 months postpartum of her first pregnancy and worsening during her second pregnancy. It was associated with kyphotic lordosis. PLO was diagnosed based on clinical symptoms and low bone mineral density (BMD).
CONCLUSION
PLO should be considered in patients who complain of back pain during late pregnancy and postpartum period. Weaning off breastfeeding and supplementation of calcium/vitamin D should be the first recommendation as conventional treatment after the diagnosis of PLO. Bisphosphonate, teriparatide and denosumab can be added on as specific pharmacological therapy if conservative treatment fails.
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Copyright (c) 2023 Wan Mohd Hafez Wan Hamzah, Norhayati Yahaya, Teh Roseleen Nadia Roslan
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