Osteoporosis juvenil idiopática. Presentación de un caso
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Subject
Osteoporosis
juvenile idiopathic osteoporosis
bone mineral density
phosphocalcic metabolism disorder
osteoporosis
osteoporosis juvenil idiopática
densidad mineral ósea
trastorno del metabolismo fosfocálcico
juvenile idiopathic osteoporosis
bone mineral density
phosphocalcic metabolism disorder
osteoporosis
osteoporosis juvenil idiopática
densidad mineral ósea
trastorno del metabolismo fosfocálcico
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Journal Title
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Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Introdución: la osteoporosis juvenil idiopática (OJI) es el término descriptivo aplicado a la osteoporosis de etiología desconocida en la edad pediátrica. Se caracteriza por la pérdida progresiva de la masa ósea y el deterioro de su microarquitectura, lo que lleva al aumento de la fragilidad ósea y a la mayor susceptibilidad de fracturas. El principal objetivo del tratamiento de los niños y adolescentes con densidad mineral ósea disminuida es la prevención de las fracturas óseas por fragilidad. Como medidas generales, se recomienda una alimentación equilibrada, con aporte óptimo de calcio y vitamina D y la promoción de la mayor actividad física posible.
Objetivo: presentar un caso de OJI y enfatizar en aspectos del diagnóstico y tratamiento.
Caso clínico: adolescente, femenina, de 17 años de edad, que acudió al Departamento de Endocrinología Pediátrica del Instituto Nacional de Endocrinología a la edad de 9 años por fracturas múltiples desde los 5 años, lo que se asociaba a dolores óseos. Ante la sintomatología se indicaron los complementarios correspondientes confirmándose el diagnóstico de OJI e indicándose tratamiento con calcio y vitamina D; se evidenció una evolución favorable con mejoría clínica y radiológica, sin necesidad de administrar tratamiento con bifosfonatos.
Introdution: Juvenile idiopathic osteoporosis (JIO) is the descriptive term applied to osteoporosis of unknown etiology in the pediatric age. It is characterized by the progressive loss of bone mass and the deterioration of its microarchitecture, which leads to increased bone fragility and greater susceptibility to fractures. The main objective of the treatment of children and adolescents with decreased bone mineral density is the prevention of bone fractures due to fragility. As general measures, a balanced diet with an optimal supply of calcium and vitamin D and the promotion of as much physical activity as possible is recommended. Objective: Present a case of JIO and emphasize aspects of diagnosis and treatment. Case report: Adolescent, female, 17 years old, who was attended at the Department of Pediatric Endocrinology of the National Institute of Endocrinology at the age of 9 years for multiple fractures since age 5, which was associated with bone pain. Given the symptoms and results of complementary exams, a diagnosis of JIO was confirmed, indicating treatment with calcium and vitamin D. The patient respond favorably, with clinical and radiological improvement, with no need to administer bisphosphonates.
Introdution: Juvenile idiopathic osteoporosis (JIO) is the descriptive term applied to osteoporosis of unknown etiology in the pediatric age. It is characterized by the progressive loss of bone mass and the deterioration of its microarchitecture, which leads to increased bone fragility and greater susceptibility to fractures. The main objective of the treatment of children and adolescents with decreased bone mineral density is the prevention of bone fractures due to fragility. As general measures, a balanced diet with an optimal supply of calcium and vitamin D and the promotion of as much physical activity as possible is recommended. Objective: Present a case of JIO and emphasize aspects of diagnosis and treatment. Case report: Adolescent, female, 17 years old, who was attended at the Department of Pediatric Endocrinology of the National Institute of Endocrinology at the age of 9 years for multiple fractures since age 5, which was associated with bone pain. Given the symptoms and results of complementary exams, a diagnosis of JIO was confirmed, indicating treatment with calcium and vitamin D. The patient respond favorably, with clinical and radiological improvement, with no need to administer bisphosphonates.
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info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol 3 No 3 (2019): Science and Health, september-december; 59-63
Ciencia y Salud; Vol. 3 Núm. 3 (2019): Ciencia y Salud, septiembre-diciembre; 59-63
2613-8824
2613-8816
10.22206/cysa.2019.v3i3
Ciencia y Salud; Vol. 3 Núm. 3 (2019): Ciencia y Salud, septiembre-diciembre; 59-63
2613-8824
2613-8816
10.22206/cysa.2019.v3i3