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자가면역질환 환자에서 장기간 당질 코르티코이드 복용에 의해 유발된 골다공증성 다발성 압박 골절
박예수 ( Ye Soo Park ),서완식 ( Wan Sik Seo ),조재림 ( Jae Lim Cho ),김태환 ( Tae Hwan Kim ) 대한류마티스학회 2009 대한류마티스학회지 Vol.16 No.3
Reduced bone mineral density precedes the development of vertebral fractures in patients under long term glucocorticoid therapy. Osteoporosis is a frequent complication in steroid-dependent patients, and the risk of developing vertebral fractures in these patients is much higher than involutional osteoporosis. We described a 54-year-old patient who presented with autoimmune hepatitis and had a 6-year history of steroid medication. The patient had multiple compression fractures (T10∼L5) without trauma, and was treated successfully with multi-level vertebroplasty and an intravenous injection of bisphosphonate without complications.