Coexistent osteoporosis and multiple myeloma: when to investigate further in osteoporosis

BMJ Case Rep. 2015 Oct 8:2015:bcr2015210896. doi: 10.1136/bcr-2015-210896.

Abstract

Osteoporosis commonly causes vertebral collapse fractures. We present a patient with multiple vertebral fractures in the context of severe osteoporosis, who, in the course of investigation for intractable spine and hip pain, was found to have an IgA myeloma. At 2 months post diagnosis, she was discharged home to continue outpatient chemotherapy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Bone Density Conservation Agents / adverse effects*
  • Bone Density Conservation Agents / therapeutic use
  • Bone Marrow / pathology
  • Calcium / blood
  • Female
  • Humans
  • Lumbar Vertebrae / diagnostic imaging
  • Magnetic Resonance Imaging
  • Multiple Myeloma / complications
  • Multiple Myeloma / diagnosis*
  • Osteoporosis / complications*
  • Osteoporosis / drug therapy
  • Spinal Fractures / diagnosis*
  • Teriparatide / adverse effects*
  • Teriparatide / therapeutic use
  • Tomography, X-Ray Computed

Substances

  • Bone Density Conservation Agents
  • Teriparatide
  • Calcium