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Case Reports
. 2010 Dec 14:2010:bcr0720092112.
doi: 10.1136/bcr.07.2009.2112.

Transient osteoporosis associated with pregnancy: use of bisphosphonate in treating a lactating mother

N G Shenker  1 , M F Shaikh, A S M Jawad
Affiliations
Case Reports

Transient osteoporosis associated with pregnancy: use of bisphosphonate in treating a lactating mother

N G Shenker et al. BMJ Case Rep. .

Abstract

Transient osteoporosis is a rare condition causing regional pain, immobility and functional compromise. The authors present the case of a pregnant lady with multiple sites of transient osteoporosis, including a stress fracture, successfully treated with intravenous pamidronate and a physical rehabilitation programme. The authors discuss the mechanisms for the syndrome and its overlap with complex regional pain syndrome type I; as well as the implications of bisphosphonate administration to a nursing mother. The authors also highlight the advantages of MRI over standard radiography when investigating unexplained foot pain.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
(A) Normal lumbar spine. (B) Widespread bony oedema and joint effusion affecting left hip with localised bony oedema affecting right hip.
Figure 1
Figure 1
(A) Normal lumbar spine. (B) Widespread bony oedema and joint effusion affecting left hip with localised bony oedema affecting right hip.
Figure 2
Figure 2
(A) MRI demonstrating stress fracture of talar dome. (B) Normal ankle x-ray taken at a similar time. (C) Bony oedema affecting tibial plateau.
Figure 2
Figure 2
(A) MRI demonstrating stress fracture of talar dome. (B) Normal ankle x-ray taken at a similar time. (C) Bony oedema affecting tibial plateau.
Figure 2
Figure 2
(A) MRI demonstrating stress fracture of talar dome. (B) Normal ankle x-ray taken at a similar time. (C) Bony oedema affecting tibial plateau.
See this image and copyright information in PMC

References

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