ステロイド誘発性骨粗鬆症患者のADL改善にカルシトニン製剤(エルカトニン)が著効した1例

概要

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While many reports mention the excellent efficacy of calcitonin preparations in patients with osteoporosis associated with pain, nowhere m the literature have thermographical changes before and after initiation of the injection been reported as far as we could ascertain. In the present study, we report a case in which the use of a calcitonin preparation led to remarkable improvement of activities of daily living (ADL) in a patient with steroid-induced osteoporosis. The patient was a 26-year-old woman with a chief complaint of low back pain. She had been taking oral steroids since 1992 for treatment of severe bronchial asthma. She was examined at our department for the first time on January 25, 1999, due to an intensification of her low-back pain. A simple X-ray examination at the initial examination revealed wedge-shaped changes in the third and fifth lumbar vertebrae. A weekly intramuscular injection of an elcatonin (Elcitonin^<[R!○]>) preparation was started. After three weeks, she improved greatly in ADL. Her skin temperature before and after initiation of the injections was examined using thermography. The examination showed a distinct increase in her skin temperature after the injection onset suggesting that an improvement of blood flow influenced her improved ADL scores.
社団法人日本リハビリテーション医学会の論文
2003-12-18