Table 2.
Patient A | Patient B | Patient C | Patient D | Patient E | |
---|---|---|---|---|---|
Age | 64 | 50 | 68 | 76 | 60 |
Gender | Female | Female | Female | Male | Male |
Length (cm) | 163.3 | 162 | 164.6 | 178 | 183.5 |
Weight (kg) | 81.9 | 62.2 | 69.7 | 85 | 86 |
BMI | 30.71 | 23.7 | 25.73 | 26.83 | 25.54 |
Fracture (center) | Minor | Minor | Major | Minor | Minor |
Fracture location | Radial head | Distal radius | Tibial plateau | Tarsal bone | Midshaft ulnar |
BMD (T-scores) | |||||
Lumbar spine | − 2.6 | − 2.9 | − 0.2 | − 1.7 | − 0.7 |
Femoral neck | − 2.4 | − 2.2 | − 1.2 | − 2.3 | − 0.2 |
Total hip | − 2.2 | − 0.8 | − 0.4 | − 1.8 | 0 |
BMD | Osteoporosis | Osteoporosis | Osteopenia | Osteopenia | Normal BMD |
Vertebral fractures (VFA) | No VF | No VF | Th11 grade 1 | Th12 grade 3 | No VF |
Self-reported calcium intake mg/day | 711 | 369 | 1169 | 1028 | 1020 |
Calcium (mmol/l) | 2.35 | 2.46 | 2.43 | 2.42 | 2.34 |
Phosphate (mmol/l) | 1.30 | 1.25 | 1.17 | 1.03 | 1.00 |
Albumin (g/l) | 39 | 41 | 38 | 34.0 | 41.0 |
25-OH vitamin D (nmol/l) | 75 | 101 | 29 | 83 | 60 |
PTH (pmol/l) | 4.4 | 4.0 | 7.8 | 18.0 | 5.0 |
Hemoglobin (mmol/l) | 7.4 | 8.0 | 8.3 | 8.2 | 8.8 |
IgA (g/l) | 6.38 | 2.72 | 2.14 | 4.03 | 4.43 |
IgA anti-tTG (U/ml) | 91.4 | 36.5 | 24.6 | 37.4 | 1.6 |
IgA anti-EMA | Positive | Positive | Positive | Not performed | Not performed |
Duodenal biopsy | – | Marsh 3c | Marsh 3a | Marsh 3b | Marsh 3b |
Uncertain celiac disease | Proven celiac disease (new) | Proven celiac disease (new) | Proven celiac disease (known) | Proven celiac disease (known) | |
Osteoporosis treatment | Refused treatment | Start alendronic acid | No indication for treatment | Treated with risedronic acid | No indication for treatment |
FLS fracture liaison service, BMI body mass index, BMD bone mineral density, VFA vertebral fracture assessment, PTH parathyroid hormone, IgA Immunoglobulin A, IgA anti-tTg anti-tissue transglutaminase antibodies, IgA anti-EMA anti-endomysial antibodies