Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 7, Number 10, October 2016, pages 467-470


Severe Osteoporosis in a Young Woman With Celiac Diseases due to Vitamin D Deficiency

Figure

Figure 1.
Figure 1. Whole body scintigraphy of bone in admission and after the treatment.

Tables

Table 1. Biochemical Analysis Before and After Treatment
 
On admissionAfter 4 monthsAfter 7 monthsAfter 10 monthsReference value
PTH: parathyroid hormone.
25-OH-vitamin D, ng/mL324.839.334.825.0 - 100 normal
10.0 - 24.9 deficiency
< 9.9 insufficiency
PTH, pg/mL40726386.936.812.0 - 72.0
Total calcium, mmol/L1.582.18NA2.192.15 - 2.57
Ionized calcium, mmol/L1.051.13NA1.151.12 - 1.32

 

Table 2. Hemogram Before and After the Treatment
 
On admissionAfter 10 monthsReference value
MCV: mean corpuscular volume; MCH: mean corpuscular hemoglobin; MCHC: mean corpuscular hemoglobin concentration.
Erythrocytes, /L3.34.6 × 10-63.5 - 5.1 × 1012
Hemoglobin, g/L94128110.0 - 150.0
Hematocrit, %35.23835.0 - 47.0
MCV, fL738280.0 - 99.0
MCH, pg21.927.426.0 - 32.0
MCHC, g/L301333310.0 - 360.0
Iron, μmol/L4.214.39.0 - 30.4

 

Table 3. DXA Scan Results Before and After the Treatment
 
RegionOn admissionAfter 8 months
BMDT-Z-BMDT-Z-
BMD: bone mineral density.
Right femur0.371-4.7-4.60.714-1.9-1.8
Left femur0.375-4.6-4.50.693-2.0-1.9
L-spine0.461-5.3-5.20.737-2.8-2.7