Asymmetrical bone loss in a patient with poliomyelitis: an indication for anti-osteoporotic therapy

BACKGROUNDPoliomyelitis survivors suffer from post-myelitic complications including osteoporosis that are often overlooked. METHODSWe report a case of a 49-year-old lady with history of poliomyelitis with resultant flaccid paralysis of the involved limb. RESULTSThe bone mineral density revealed asym...

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Bibliographic Details
Published in:Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases Mineral Metabolism, and Skeletal Diseases, 2016, Vol.13 (1), p.61-63
Main Authors: Ratnasingam, Jeyakantha, Ibrahim, Luqman, Paramasivam, Sharmila, Lim, Lee Ling, Boon, Alexander Tan Tong, Vethakkan, Shireene
Format: Report
Language:English
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Summary:BACKGROUNDPoliomyelitis survivors suffer from post-myelitic complications including osteoporosis that are often overlooked. METHODSWe report a case of a 49-year-old lady with history of poliomyelitis with resultant flaccid paralysis of the involved limb. RESULTSThe bone mineral density revealed asymmetrical severe osteoporosis in the poliomyelitic limb. Given the risk of falls and fractures, she was commenced on oral bisphosphonate therapy. CONCLUSIONPoliomyelitis is an important acquired risk factor for regional osteoporosis. This condition should be detected and treated in this cohort of patients who are clearly at higher risk of fractures.
ISSN:1724-8914
DOI:10.11138/ccmbm/2016.13.1.061