Managing osteoporosis in pediatric patients
I remember very clearly the first time osteoporosis reared its ugly head in clinic. I was monitoring a teenage patient with lupus on high doses of steroids to control her kidney disease. She came into clinic complaining of pain in her lower back that was making it difficult for her to sit or stand for long periods of time. X-rays revealed compression fractures of her lumbar vertebrae, despite compliance with calcium and vitamin D supplements. Physical therapy and 6 months of treatment with alendronate have helped, and 2 years on she remains pain free.