Abstract
Severe osteoporosis, a situation with fractures, can worsen in the case of poor response to usual therapies, such as bisphosphonates associated with calcium and vitamin D, especially if bone turnover is strongly suppressed. One way of inverting the poor evolution of non-responders is to use Teriparatide. The case of a non-responder is reported, with considerations about the possibility of detecting these patients before a new fracture takes place.
MeSH terms
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Aged
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Back Pain / drug therapy
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Back Pain / etiology
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Bone Density / drug effects
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Bone Density Conservation Agents / adverse effects
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Bone Density Conservation Agents / therapeutic use
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Bone Remodeling / drug effects
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Diphosphonates / adverse effects
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Diphosphonates / therapeutic use
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Female
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Fractures, Spontaneous / drug therapy
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Fractures, Spontaneous / etiology
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Humans
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Lumbar Vertebrae / diagnostic imaging
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Lumbar Vertebrae / metabolism
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Lumbar Vertebrae / pathology
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Osteoporosis, Postmenopausal / complications
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Osteoporosis, Postmenopausal / diagnostic imaging
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Osteoporosis, Postmenopausal / drug therapy*
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Radiography
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Teriparatide / therapeutic use*
Substances
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Bone Density Conservation Agents
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Diphosphonates
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Teriparatide