Clinical characteristics of pregnancy and lactation associated osteoporosis: An online survey study

Kondapalli, Ananya; Kamanda‐Kosseh, Mafo; Williams, John M.; Shiau, Stephanie; Bucovsky, Mariana; Colón, Ivelisse; Shane, Elizabeth; Cohen, Adi

doi:10.1007/s00198-023-06793-9

Cited by 8 publications

(8 citation statements)

References 33 publications

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“…Although human reproduction is neutral or protective against developing osteoporosis in the long term, during the short-term women occasionally present with fragility fractures while pregnant or breastfeeding, and often as primigravidas ( 73 – 75 ). Approximately 70–90 % of such fractures occur while breastfeeding, with the rest presenting in late pregnancy or early puerperium ( 73 , 76 , 77 ). Classically these have been recognized in the literature (likely subject to reporting bias) as a cascade of 2–10 vertebral compression fractures in a single woman, although some studies suggest that appendicular fractures, especially those of the ankle and lower tibia, may be more common than realized ( 73 , 76 , 78 ).…”

Section: Osteoporosis Associated With Pregnancy and Lactationmentioning

confidence: 99%

“…Approximately 70–90 % of such fractures occur while breastfeeding, with the rest presenting in late pregnancy or early puerperium ( 73 , 76 , 77 ). Classically these have been recognized in the literature (likely subject to reporting bias) as a cascade of 2–10 vertebral compression fractures in a single woman, although some studies suggest that appendicular fractures, especially those of the ankle and lower tibia, may be more common than realized ( 73 , 76 , 78 ). How often vertebral compression fractures occur is uncertain; they may not be recognized because back pain is a common complaint during pregnancy and postpartum.…”

Section: Osteoporosis Associated With Pregnancy and Lactationmentioning

confidence: 99%

See 1 more Smart Citation

Proceedings of the 2023 Santa Fe Bone Symposium: Progress and Controversies in the Management of Patients with Skeletal Diseases

Lewiecki,

Bellido,

Bilezikian

et al. 2023

Journal of Clinical Densitometry

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Section: Osteoporosis Associated With Pregnancy and Lactationmentioning

confidence: 99%

Section: Osteoporosis Associated With Pregnancy and Lactationmentioning

confidence: 99%

Proceedings of the 2023 Santa Fe Bone Symposium: Progress and Controversies in the Management of Patients with Skeletal Diseases

Lewiecki,

Bellido,

Bilezikian

et al. 2023

Journal of Clinical Densitometry

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“…It presents with back pain and vertebral compression fractures 2 . The management of PLO is challenging, but early diagnosis, stopping breastfeeding, treatment of anti‐osteoporosis medicine, and regular follow‐ups are necessary for the prevention of fractures and to increase the mother's quality of life 3,4 . We present a very rare case of a 22‐year‐old woman, who has been diagnosed with PLO 5 months after delivering her child.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy and lactation‐related osteoporosis in a 22‐year‐old‐woman

Ghassa,

Hodifa,

Falhout

2024

Clinical Case Reports

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Key Clinical MessageAny pregnant or lactating woman with severe constant back pain, PLO must be kept in mind due to its effect on the quality of life of the mother and her child.AbstractA 22‐year‐old woman, who delivered her first child 5 months ago and is now breastfeeding her baby, presented with mid‐back pain. After investigations, including laboratory tests, X‐rays, and bone density measurements, the diagnosis was PLO. The patient is being treated with calcium, vitamin D, and alendronate besides discontinuation of lactation.

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“…Studies propose that CD may interfere with the normal mineralization of dental enamel, resulting in structural abnormalities [ 16 ]. Enamel defects, such as pitting, grooving, and discoloration, have been reported in individuals with CD, providing potential oral markers for the condition [ 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ].…”

Section: Introductionmentioning

confidence: 99%

Celiac Disease-Related Enamel Defects: A Systematic Review

Inchingolo,

Dipalma,

Viapiano

et al. 2024

JCM

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Introduction: This systematic review aims to elucidate the intricate correlation between celiac disease (CD) and dental enamel defects (DED), exploring pathophysiological mechanisms, oral health implications, and a dentist’s role in early diagnosis. Materials and methods: Following PRISMA guidelines, a comprehensive search from 1 January 2013 to 1 January 2024 across PubMed, Cochrane Library, Scopus, and Web of Science identified 153 publications. After exclusions, 18 studies met the inclusion criteria for qualitative analysis. Inclusion criteria involved study types (RCTs, RCCTs, case series), human participants, English language, and full-text available. Results: The search yielded 153 publications, with 18 studies meeting the inclusion criteria for qualitative analysis. Notable findings include a high prevalence of DED in CD patients, ranging from 50 to 94.1%. Symmetrical and chronological defects, according to Aine’s classification, were predominant, and significant associations were observed between CD severity and enamel defect extent. Conclusions: The early recognition of oral lesions, particularly through Aine’s classification, may signal potential CD even in the absence of gastrointestinal symptoms. Correlations between CD and dental health conditions like molar incisor hypomineralization (MIH) emphasize the dentist’s crucial role in early diagnosis. Collaboration between dentists and gastroenterologists is essential for effective monitoring and management. This review consolidates current knowledge, laying the groundwork for future research and promoting interdisciplinary collaboration for improved CD-related oral health outcomes. Further large-scale prospective research is recommended to deepen our understanding of these issues.

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Clinical characteristics of pregnancy and lactation associated osteoporosis: An online survey study

Cited by 8 publications

References 33 publications

Proceedings of the 2023 Santa Fe Bone Symposium: Progress and Controversies in the Management of Patients with Skeletal Diseases

Proceedings of the 2023 Santa Fe Bone Symposium: Progress and Controversies in the Management of Patients with Skeletal Diseases

Pregnancy and lactation‐related osteoporosis in a 22‐year‐old‐woman

Celiac Disease-Related Enamel Defects: A Systematic Review

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