Hepatic osteodystrophy in a fragility geriatric patient with liver cirrhosis

Czech version

Authors: Koudelková Gabriela; Cveková Silvia; Aiglová Květoslava
Authors‘ workplace: 2. interní klinika – gastroenterologická a geriatrická Lékařské fakulty Univerzity Palackého a Fakultní nemocnice Olomouc
Published in: Geriatrie a Gerontologie 2023, 12, č. 2: 97-100
Category:

Overview

The geriatric population in general is a highrisk group for metabolic bone diseases. Factors contributing to the progression of bone findings are polymorbidity, malnutrition, sarcopenia and hypomobility, which are typical for elderly patients. Chronic hepatopathy of any etiology in patients over 65 years of age is a relatively common disease. When following such patients, it is always important to keep in mind the possibility of hepatic osteodystrophy, mainly involving osteoporosis and less frequently osteomalacia. Osteoporosis is the most common metabolic bone disease. Clinically, it is asymptomatic for a long time and manifests itself only in more advanced stages by the development of pathological fractures, which can greatly reduce the patient‘s quality of life, and, especially in the geriatric patient, it negatively affects morbidity and mortality. Therefore, it is very important to think about the possibility of this complication, prevent its occurrence and stratify the risk of developing this disease in advance.

In this communication, we would like to present a case report of an elderly patient with liver cirrhosis accompanied by hepatic osteodystrophy with subsequent development of multiple pathological spinal fractures.

Keywords:

secondary osteoporosis – pathological fractures – liver cirrhosis – PBC – hepatic osteodystrophy

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