Transient Osteoporosis of the Knees, Ankles and Feet: Atypical Case in a Twin Pregnancy

Abstract

Transient osteoporosis (TO) is a rare entity with unknown origin which is, in most cases, self-limiting. The most common location is the hip, which can sometimes be bilateral, followed by the knee, ankle and foot. The multifocal, bilateral and simultaneous location of knees, ankles and feet during pregnancy is extremely rare. We present the case of a woman, 25 weeks pregnant with twins, who was admitted as an emergency with pain and functional disability of her lower limbs. She required hospitalization and was diagnosed with transient osteoporosis of pregnancy (TOP), with clinical and radiological resolution after 12 months and treatment with intravenous bisphosphonate.




J Clin Gynecol Obstet. 2016;5(1):37-40
doi: http://dx.doi.org/10.14740/jcgo357w