Valta Helena, Mäkitie Outi
HYKS Lastenklinikka, lastentautien yksikkö, PL 281, 00029 HUS.
Duodecim. 2011;127(9):921-9.
Osteoporosis may be associated with many pediatric conditions. Chronically ill children constitute a special risk group. Diagnosis of osteoporosis in children is challenging; contrary to adults, the diagnosis requires proof of susceptibility to fractures in addition to low bone mineral density. Vertebral fractures without high-energy injury in children are usually indicative of increased bone fragility. In chronically ill children, these fractures are surprisingly common and often asymptomatic.
骨质疏松症可能与许多儿科疾病相关。慢性病患儿构成一个特殊的风险群体。儿童骨质疏松症的诊断具有挑战性;与成人不同,除了低骨矿物质密度外,诊断还需要证明存在骨折易感性。儿童在无高能损伤情况下发生的椎体骨折通常表明骨脆性增加。在慢性病患儿中,这些骨折出奇地常见且往往无症状。