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Progressive idiopathic juvenile osteoporosis in pregnancy: A case report of two successive pregnancies in the same woman

A 33-year-old primiparous woman with progressive idiopathic juvenile osteoporosis (IJO) who had had multiple vertebral compressions and bilateral femoral neck fractures since the age of 15 years presented for perinatal management at 11 weeks of gestation. Her vertebral bone mass was 0.634 g/cm(2) be...

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Autores principales: Kishimoto, Kaori, Kodera, Chisato, Saito, Fumitaka, Ohba, Takashi, Katabuchi, Hidetaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8144659/
https://www.ncbi.nlm.nih.gov/pubmed/34040998
http://dx.doi.org/10.1016/j.crwh.2021.e00325
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author Kishimoto, Kaori
Kodera, Chisato
Saito, Fumitaka
Ohba, Takashi
Katabuchi, Hidetaka
author_facet Kishimoto, Kaori
Kodera, Chisato
Saito, Fumitaka
Ohba, Takashi
Katabuchi, Hidetaka
author_sort Kishimoto, Kaori
collection PubMed
description A 33-year-old primiparous woman with progressive idiopathic juvenile osteoporosis (IJO) who had had multiple vertebral compressions and bilateral femoral neck fractures since the age of 15 years presented for perinatal management at 11 weeks of gestation. Her vertebral bone mass was 0.634 g/cm(2) before pregnancy. The target calcium intake was set at 800 mg/day. Cephalopelvic disproportion led to the patient having an elective cesarean section at 39 weeks 3 days of gestation and she delivered a female infant weighing 2785 g. After the delivery, her vertebral bone mass had increased to 0.700 g/cm(2). At 34 years of age, she conceived her second child. With similar perinatal management, she delivered a female infant weighing 2580 g at 38 weeks of gestation by elective cesarean section. Her vertebral bone mass had increased again after the second pregnancy. Few cases of pregnancy complicated by progressive IJO have been reported. However, an uneventful pregnancy course can be expected with proper management, and pregnancy can be a good opportunity to increase bone mass.
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spelling pubmed-81446592021-05-25 Progressive idiopathic juvenile osteoporosis in pregnancy: A case report of two successive pregnancies in the same woman Kishimoto, Kaori Kodera, Chisato Saito, Fumitaka Ohba, Takashi Katabuchi, Hidetaka Case Rep Womens Health Article A 33-year-old primiparous woman with progressive idiopathic juvenile osteoporosis (IJO) who had had multiple vertebral compressions and bilateral femoral neck fractures since the age of 15 years presented for perinatal management at 11 weeks of gestation. Her vertebral bone mass was 0.634 g/cm(2) before pregnancy. The target calcium intake was set at 800 mg/day. Cephalopelvic disproportion led to the patient having an elective cesarean section at 39 weeks 3 days of gestation and she delivered a female infant weighing 2785 g. After the delivery, her vertebral bone mass had increased to 0.700 g/cm(2). At 34 years of age, she conceived her second child. With similar perinatal management, she delivered a female infant weighing 2580 g at 38 weeks of gestation by elective cesarean section. Her vertebral bone mass had increased again after the second pregnancy. Few cases of pregnancy complicated by progressive IJO have been reported. However, an uneventful pregnancy course can be expected with proper management, and pregnancy can be a good opportunity to increase bone mass. Elsevier 2021-05-08 /pmc/articles/PMC8144659/ /pubmed/34040998 http://dx.doi.org/10.1016/j.crwh.2021.e00325 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Kishimoto, Kaori
Kodera, Chisato
Saito, Fumitaka
Ohba, Takashi
Katabuchi, Hidetaka
Progressive idiopathic juvenile osteoporosis in pregnancy: A case report of two successive pregnancies in the same woman
title Progressive idiopathic juvenile osteoporosis in pregnancy: A case report of two successive pregnancies in the same woman
title_full Progressive idiopathic juvenile osteoporosis in pregnancy: A case report of two successive pregnancies in the same woman
title_fullStr Progressive idiopathic juvenile osteoporosis in pregnancy: A case report of two successive pregnancies in the same woman
title_full_unstemmed Progressive idiopathic juvenile osteoporosis in pregnancy: A case report of two successive pregnancies in the same woman
title_short Progressive idiopathic juvenile osteoporosis in pregnancy: A case report of two successive pregnancies in the same woman
title_sort progressive idiopathic juvenile osteoporosis in pregnancy: a case report of two successive pregnancies in the same woman
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8144659/
https://www.ncbi.nlm.nih.gov/pubmed/34040998
http://dx.doi.org/10.1016/j.crwh.2021.e00325
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