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BMJ Case Reports 2017; doi:10.1136/bcr-2017-220700
  • Rare disease
  • CASE REPORT

Primary osteoporosis in children

Editor's Choice
  1. Rashida Farhad Vasanwala3
  1. 1 Department of Paediatrics, KK Women’s and Children’s Hospital, Singapore, Singapore
  2. 2 Department of Family Medicine, SingHealth Polyclinics, Singapore, Singapore
  3. 3 Department of Paediatrics, Endocrinology Service, KK Women’s and Children’s Hospital, Singapore, Singapore
  1. Correspondence to Dr Lay Ong Tan, philiptan83{at}gmail.com, limsooyen688{at}hotmail.com
  • Accepted 10 August 2017
  • Published 1 September 2017

Summary

Osteoporosis in childhood is uncommon, and it may be secondary to a spectrum of diverse conditions. Idiopathic juvenile osteoporosis is a primary osteoporosis of unknown aetiology present in previously well children and is a diagnosis of exclusion. We describe a 10-year-old prepubertal boy who presented with back pain of 1-week duration. His spinal X-ray showed generalised loss of vertebral body heights in keeping with osteoporosis. Endocrine and haematological work-up were normal. He was treated with vitamin D supplement and intravenous pamidronate. This case illustrates the general work-up and causes for paediatric osteoporosis, and the management for idiopathic juvenile osteoporosis.

Footnotes

  • Contributors LOT: Contributed to conception and design; contributed to acquisition and analysis; drafted manuscript; agrees to be accountable for all aspects of work ensuring integrity and accuracy. SYL: Contributed to conception and design; contributed to acquisition and analysis; critically revised manuscript; agrees to be accountable for all aspects of work ensuring integrity and accuracy. RFV: Contributed to conception; contributed to interpretation; critically revised manuscript; gave final approval; agrees to be accountable for all aspects of work ensuring integrity and accuracy.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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