Features of the management of a patient with postmenopausal osteoporosis and vitamin D deficiency: a clinical case

Background. The incidence of osteoporosis (OP) increases annually; it is detected in every third woman in Russia. An important public health task is to identify patients at high risk of osteoporotic fractures and to prescribe adequate therapy. Description of the clinical case. Patient M. underwent X-ray densitometry without referral from a doctor, and signs of pronounced OP were revealed. Medical history included ovarian resection, early menopause at the age of 40, and smoking for 33 years. The patient was also diagnosed with vitamin D deficiency. Zoledronic acid 5 mg once a year, vitamin D preparations were prescribed as anti-osteoporotic therapy. After two intravenous administration of bisphosphonate, a positive dynamics of bone mineral density (BMD) was noted. Conclusion. For early detection of OP, a detailed medical history should be taken and patient should be promptly referred for further examination. To stabilize the process and improve BMD, long-term, carefully controlled anti-osteoporotic therapy and correction of hypovitaminosis D are required.

osteoporosis, clinical case, bisphosphonates, zoledronic acid, vitamin D