Secondary osteoporosis nephrolithiasis
a differential diagnosis of low back pain
Keywords:
Low back pain, nephrolithiasis, hypercalciuria, secondary osteoporosisAbstract
Low back pain is one of the most frequent complaints in emergency care and may have a specific or non-specific etiology. Among the specific and external causes of the musculoskeletal system is nephrolithiasis, which, in turn, is associated with several risk factors and underlying diseases. We describe a case in which a 63-year-old female patient presented with low back pain caused by nephrolithiasis, associated with hypercalciuria, which, in turn, was a cause of secondary osteoporosis.
References
Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet. 2012 Feb 4;379(9814):482- 91. doi: 10.1016/S0140-6736(11)60610-7. Epub 2011 Oct 6. PMID: 21982256.
Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V, Viswanath O, Jones MR, Sidransky MA, Spektor B, Kaye AD. Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Curr Pain Headache Rep. 2019 Mar 11;23(3):23. doi: 10.1007/s11916-019-0757-1. PMID: 30854609.
Casser HR, Seddigh S, Rauschmann M. Acute Lumbar Back Pain. Dtsch Arztebl Int. 2016 Apr 1;113(13):223-34. doi: 10.3238/arztebl.2016.0223. PMID: 27120496; PMCID: PMC4857557.
Shaw B, Kinsella R, Henschke N, Walby A, Cowan S. Back pain "red flags": which are most predictive of serious pathology in the Emergency Department? Eur Spine J. 2020 Aug;29(8):1870-1878. doi: 10.1007/s00586- 020-06452-1. Epub 2020 Jun 3. PMID: 32495276.
Mayans L. Nephrolithiasis. Prim Care. 2019 Jun;46(2):203- 212. doi: 10.1016/j.pop.2019.02.001. PMID: 31030821.
Tasca A, Dalle Carbonare L, Nigro F, Giannini S. Bone disease in patients with primary hypercalciuria and calcium nephrolithiasis. Urology. 2009 Jul;74(1):22-7. doi: 10.1016/j.urology.2008.11.014. Epub 2009 May 9. PMID: 19428073.
Diab DL, Watts NB. Secondary osteoporosis: differential diagnosis and workup. Clin Obstet Gynecol. 2013 Dec;56(4):686-93. doi: 10.1097/GRF.0b013e3182a9b5f9. PMID: 24100597.
