Abstract

GUTIERREZ MEDINA, S.; MEDRANO IZQUIERDO, P.  and  DIAZ CURIEL, M.. Vertebral fractures as a debut to Cushing's syndrome diagnosed after a pregnancy. Rev Osteoporos Metab Miner [online]. 2013, vol.5, n.2, pp.93-97. ISSN 2173-2345.  https://dx.doi.org/10.4321/S1889-836X2013000200006.

The case is described of a 34 year old patient with Cushing's disease diagnosed as a result of having multiple pathological vertebral fractures after giving birth. The sudden appearance of acute fractures in five vertebral bodies, the phenotype characteristics of the patient and her medical history  pointed to a diagnosis of Cushing's syndrome, a condition which rarely coincides with pregnancy. After a resection of the hypophysary adenoma and the start of treatment with teriparatide, the patient experienced notable clinical and densitometric improvement. This case demonstrates the importance of suspecting a bone metabolism disorder in the presence of pathological fractures in young patients, even more in certain states, such as pregnancy or lactation.

Keywords : Cushing's syndrome; osteoporosis; pregnancy; lactation.

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