Más allá de la edad: disminución inesperada de la densidad mineral ósea en una mujer joven. Reporte de caso

Beyond age: unexpected decrease in bone mineral density in a young woman. Case report

Authorship SCIMAGO INSTITUTIONS RANKINGS

Clinical case: A 28-year-old patient with decreased bone mineral density secondary to the use of oral and intravenous corticosteroids for treatment of a joint injury with long-standing persistent pain, treatment was initiated with calcium 1500 mg and vitamin D3 400 IU. The patient will be followed annually for bone densitometry and blood biomarker monitoring.

Conclusion: a thorough search for the underlying cause is important to determine treatment. Further studies are needed to evaluate bisphosphonate treatment, as there are no established guidelines for their use in young women.

Keywords:
Bone density; case reports; corticosteroids; knee trauma; premenopause; women

Región	BDM (g/cm²)	Puntaje Z
Columna AP (L1-L4)	0.736	-2.8
Cuello Femoral (izquierda)	0.664	-1.8
Cadera total (izquierda)	0.697	-1.9

Prueba de laboratorio	Valores obtenidos	Prueba de laboratorio	Valores obtenidos
PTH intacta	26.5 pg/mL (15.0–65.0)	Albúmina	4.1 g/dL (3.5–4.8)
Calcio	9.7 mg/dL (8.1–10.4)	Estradiol	100 pg/mL
TSH	1.08 µUI/mL (0.27–4.20)	FSH	5.3 mUI/mL
T4 libre	1.32 ng/dL (0.93–1.71)	LH	9.2 mUI/mL
Vitamina D (25OH) total	39.2 ng/mL (30–100)	Prolactina	16.40 ng/mL
Creatinina	0.8 mg/dL (0.5–0.9)	Hemoglobina glucosilada	5.1%
Fosfatasa alcalina	63 U/L (38-126)	Hemoglobina	13.2 g/dL
Fósforo	3.5 mg/dl (2.5-4.5)	Hematocrito	41.1 %
ANTI PCC	8.0 U/mL (0-17)	Plaquetas	232 x10³/µL.
PCR	0.40 mg/L (<5.0)

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Instituto Tecnológico de Santo Domingo Santo Domingo DN, Dominican Republic Av. Los Próceres, Jardines del Norte. P.O. Box 342-9 and 249-2 - E-mail: manuel.colome@intec.edu.do

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