Po1504 Male Osteoporosis - A Step From Disaster

Anne-Marie Ferreira1, Carla Moreira2, Jorge Demar Santos2, Sérgio Aleixo3 e Rui Jorge Oliveira2
1USF Terras de Azurara; 2USF Infante D. Henrique; 3USF Viseu Cidade
Introduction: Osteoporosis is the most common bone disease, its aetiology is multifactorial and usually occurs in elderly people. It is characterized not only by low bone mass but mainly by the deterioration of bone microarchitecture, which weakens the bones and increases the risk of fracture. Male osteoporosis is common and it deserves our attention because about 25% of osteoporotic fractures occur in men. Hip fractures in men occur earlier and determine a higher mortality than in women. The best method for detecting osteoporosis is osteodensitometry.
Case Description: Male Caucasian patient, 74 years old, married and a farmer. Has a functional dyad family, in low-middle class of Graffar. Has hypertension with left ventricular hypertrophy and dyslipidaemia. Family history: irrelevant . He went to his General practitioner (GP) on May/2012 due to a fall that caused trauma to the lower back and right hip joint. The physical examination showed functional damage to the right leg with no deformity nor pain nor crepitations. Due to medical history and physical examination an X-ray of the mentioned area was requested. It showed no signs of fracture, however, a bilateral coxarthrosis and signs of demineralization of the vertebral, hip and pelvis column were found, indicating a probable osteoporosis. In order to confirm the diagnosis, analytical and imaging tests were requested, including an osteodensitometry. The patient was medicated to help tolerate the pain, and a new consultation was scheduled. The patient returns to our consultation presenting an analytical study with no significant changes and an osteodensitometry with a T score of -4 at the femoral neck and -3.8 at the spine, which confirmed the diagnosis of primary osteoporosis type II. The patient was medicated since then, with daily calcium carbonate + cholecalciferol; Strontium ranelate and also the periodic follow-up consultations are to maintain. Discussion: Osteoporosis is a very common disease and it is increasing as a result of the ageing population. The GP is in a privileged position to avoid, to treat and to prevent possible complications of osteoporosis, like fractures that can be disabling and potentially fatal in the elderly age group. An early diagnosis, as in this case, is the fundamental key to prevent complications and acquire the proper treatment. It was estimated that in 2050 the same number of osteoporotic fractures will occur in men as they occur in women today, so it’s our duty to prevent them.
Male; osteoporosis; prevention; treatment