Idiopathic transient osteoporosis a rare and underdiagnosed entity a case report with a review of the literature

Balaji Zacharia
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Abstract

Introduction. Idiopathic transient osteoporosis of the hip is a rare but underdiagnosed condition. It is common in middle-aged men and pregnant women. The exact etiology is unknown. Aim. We present a 52-year-old man presented with progressively increasing pain left hip for two months. Description of the case. The radiograph showed osteoporosis localized to the proximal femur. Magnetic resonance imaging showed bone marrow edema. He was diagnosed as a case of idiopathic transient osteoporosis of the left hip (ITOH) after ruling out other causes. He was treated nonoperatively with analgesics and rest. He was given daily calcium and monthly ibandronate 150mg. His symptoms subsided after 3 months. There was no recurrence of symptoms. Conclusion. We present this case to describe the clinical, radiological features, diagnosis, and treatment of ITOH. Idiopathic transient osteoporosis is a rare condition. It is often not diagnosed because of a lack of awareness and also being a self-limiting condition. The radiogram may be normal. So a high index of suspicion is needed for its diagnosis.
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特发性短暂性骨质疏松症是一种罕见且未被诊断的疾病
介绍。髋关节特发性短暂性骨质疏松症是一种罕见但诊断不足的疾病。常见于中年男性和孕妇。确切的病因尚不清楚。的目标。我们报告一名52岁的男性,表现为左髋关节疼痛渐增两个月。案件描述。x线片显示骨质疏松局限于股骨近端。磁共振显示骨髓水肿。排除其他原因后,诊断为特发性短暂性左髋关节骨质疏松症(ITOH)。他接受了非手术治疗,给予止痛药和休息。每日给予补钙,每月给予依班膦酸盐150mg。3个月后症状消退。无症状复发。结论。我们提出这个病例来描述ITOH的临床、放射学特征、诊断和治疗。特发性短暂性骨质疏松症是一种罕见的疾病。由于缺乏意识,而且是一种自限性疾病,通常无法诊断。x光片可能正常。因此,诊断需要高度的怀疑指数。
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