Multiple Lumbar Compression Fractures due to Hypopituitarism as a Late Complication of Hemorrhagic Fever with Renal Syndrome: A case report.

, You, Seung Don; , Kim, Dong Hwan; , Huh, Ki Yun; , Yoo, Byung Sun; , Choi, Seong He

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2009;33(5):632-634.

You, Seung Don , Kim, Dong Hwan , Huh, Ki Yun , Yoo, Byung Sun , Choi, Seong He

Department of Physical Medicine and Rehabilitation, Kyung Hee University College of Medicine, Korea. ktgscorp@hotmail.com

출혈열콩팥증후군 후 발생한 생식샘저하증과 요추압박골절 1예−증례 보고−

유승돈, 김동환, 허기은, 유병선, 최성혜

경희대학교 의과대학 재활의학교실

Abstract

Male osteoporosis is known to progress slowly and is less severe compared to female osteoporosis, and the incidence of lumbar compression fracture is considerably lower in male population. Hypogonadism which can develop from various causes including hypopituitarism is a common cause for secondary male osteoporosis. Hypopituitarism as a late complication of severe form of hemorrhagic fever with renal syndrome (HFRS) is known to occur occasionally but its clinical symptoms rarely appear. A 75-year-old male patient who had recovered from HFRS 13 years ago was admitted due to severe low back pain. He presented with gradually developed symptoms of hypogonadism and hypothyroidism resulting from hypopituitarism. MRI revealed collapsed pituitary gland and empty sella. This case presents with a male patient with multiple lumbar compression fractures due to severe osteoporosis secondary to hypogonadism, which resulted from hypopituitarism as a late complication of HFRS. (J Korean Acad Rehab Med 2009; 33: 632-634)

Key Words: Hypopituitarism, Hemorrhagic fever with renal syndrome, Osteoporosis