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与抗精神病药物治疗相关的骨质疏松症。病例报告。

Osteoporosis associated with neuroleptic treatment. A case report.

作者信息

Kartaginer J, Ataya K, Mercado A, Abbasi A

机构信息

Department of Obstetrics and Gynecology, Hutzel Hospital, Detroit, Michigan.

出版信息

J Reprod Med. 1990 Feb;35(2):198-202.

PMID:1968102
Abstract

A 28-year-old woman developed osteoporosis following seven years of neuroleptic use. She presented with amenorrhea and profuse galactorrhea of four years' duration. Dual photon absorptionometry demonstrated reduced bone mineral density in the femur and spine. Serum calcium, phosphorus and alkaline phosphatase were normal. The patient was started on bromocriptine, and her bone density, serum prolactin, dehydroepiandrosterone sulfate, and free and total testosterone improved. No deterioration in her psychiatric condition occurred.

摘要

一名28岁女性在使用抗精神病药物七年后出现骨质疏松症。她有持续四年的闭经和大量溢乳症状。双能光子吸收法显示股骨和脊柱的骨矿物质密度降低。血清钙、磷和碱性磷酸酶水平正常。该患者开始使用溴隐亭治疗,其骨密度、血清催乳素、硫酸脱氢表雄酮以及游离睾酮和总睾酮水平均有所改善。其精神状况未出现恶化。

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