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Atypical femoral fracture in a multiple myeloma patient undergoing treatment with denosumab : A case report and literature review
https://tokushima-u.repo.nii.ac.jp/records/2011962
https://tokushima-u.repo.nii.ac.jp/records/20119620b1b2182-f823-4011-8463-d429b24449e2
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Item type | 文献 / Documents(1) | |||||||||||||||||||||||||||||
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公開日 | 2024-06-14 | |||||||||||||||||||||||||||||
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アクセス権 | open access | |||||||||||||||||||||||||||||
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資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||||||||
資源タイプ | journal article | |||||||||||||||||||||||||||||
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関連識別子 | https://doi.org/10.1016/j.ijscr.2023.108456 | |||||||||||||||||||||||||||||
関連名称 | 10.1016/j.ijscr.2023.108456 | |||||||||||||||||||||||||||||
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出版タイプ | VoR | |||||||||||||||||||||||||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||||||||||
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タイトル | Atypical femoral fracture in a multiple myeloma patient undergoing treatment with denosumab : A case report and literature review | |||||||||||||||||||||||||||||
著者 |
大道, 泰之
× 大道, 泰之
× 土岐, 俊一
WEKO
935
× 西庄, 俊彦
WEKO
552
× 原田, 武志× 佐藤, 紀× 西良, 浩一
WEKO
1543
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内容記述 | Introduction and importance: Denosumab is a new standard treatment for bone disease caused by multiple myeloma. There are a few reports of atypical femoral fracture in patients with multiple myeloma, all of which were associated with long-term use of bisphosphonate. Here, we report the first case of denosumab-induced atypical femoral fracture in a patient with multiple myeloma. Case presentation: A 71-year-old woman with multiple myeloma developed dull pain in her right thigh 8 months after restarting high-dose denosumab following its initial administration for 4 months and subsequent withdrawal for 2 years. Fourteen months later, complete atypical femoral fracture occurred. Osteosynthesis was achieved using an intramedullary nail and she was switched to oral bisphosphonate 7 months after cessation of denosumab. There was no exacerbation of the multiple myeloma. Bone union was achieved and she recovered to her pre-injury level of activities. The oncological outcome was alive with disease at 2 years after surgery. Clinical discussion: Prodromal symptoms such as thigh pain and radiographical finding of thickening of the lateral cortex in the subtrochanteric region of the femur were attributed to denosumab-induced atypical femoral fracture in the case. A unique aspect of this case worth highlighting is that the fracture occurred after short-term denosumab use. This may be associated with multiple myeloma or other medication including dexamethasone and cyclophosphamide. Conclusion: Atypical femoral fracture may occur in patients with multiple myeloma who receive denosumab, even for a short period. Attending physicians should be cognizant of the early symptoms and signs of this fracture. |
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主題 | Atypical femoral fracture | |||||||||||||||||||||||||||||
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主題 | Multiple myeloma | |||||||||||||||||||||||||||||
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主題 | Denosumab | |||||||||||||||||||||||||||||
書誌情報 |
en : International Journal of Surgery Case Reports 巻 108, p. 108456, 発行日 2023-07-03 |
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収録物識別子タイプ | ISSN | |||||||||||||||||||||||||||||
収録物識別子 | 22102612 | |||||||||||||||||||||||||||||
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出版者 | IJS Publishing Group | |||||||||||||||||||||||||||||
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出版者 | Elsevier | |||||||||||||||||||||||||||||
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権利情報 | This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). | |||||||||||||||||||||||||||||
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識別子 | 402155 | |||||||||||||||||||||||||||||
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言語 | eng |