EditorialEditorial

O. Pozler

Clin Osteol 2006; 11(4): 87

CASE REPORT Unusual disorder of calcium and phosphorus metabolism in an adolescent girl - a case reportCase reports

M. Adamcová, M. Bayer, S. Adámek

Clin Osteol 2006; 11(4): 88-90

A case report of seventeen-years-old girl with clinical and laboratory manifestation of repeated attacks of pancreatitis is documented. She suffered from twinges of pain in spite of the fact that she was on treatment and she kept dietary regime carefully. Clinical finding after admission covered wide dif­ ferential diagnosis including inflammatory bowel disease and celiac syndrome. Persistent hypercalcaemia and increased concentration of parathormo­ ne made us to perform parathyroid scintigraphy which revealed adenoma of right low parathyroid gland. The problem was completely solved by sur­ gery. Repeated attacs of pancreatitis represent an unusual...

Bone disease at late manifestation of gluten sensitive enteropathy - two case reportsReview articles

H. Ciferská, P. Horák, M. Tichý

Clin Osteol 2006; 11(4): 91-94

Gluten sensitive enteropathy also known as coeliac sprue (CS) is an inflammatory disease of the small intestine, mainly jejunum, caused by intolerance of gliadin, a gluten protein, in genetically predisposed individuals. The first manifestation of CS is rare in the adults, more affected are women. The late onset manifestation is often overlooked due to incomplete clinical manifestations or misinterpretation to a different disease. Typical form of CS is mani­ fested in childhood by severe diarrhea, steatorrhea and malabsorbtion symptoms. There are present various stages of atrophy of small intestine architec­ ture present and serological presences of...

Nutrition and osteoporosisReview articles

A. Kazda, P. Broulík

Clin Osteol 2006; 11(4): 95-101

Osteoporosis is a severe illness in the civilized society. It causes fractures, the complications of which may result in death. Genetic factors are respon­ sible for 75-80 % of the variants of the bone mass. Physical activity, hormones, total health state and nutrition are among the other factors. Nutrition is able of modulation and therefore, it has a special position in the prevention and therapy of osteoporosis. An always increasing attention is dedicated to the demands for adequate nutrition in relation to osteoporosis during the entire life. Already in young people, malnutrition leads to osteoporosis. For the elderly, the protein-energy malnutrition...

Bone disease in cystic fibrosisReview articles

E. Očenášková, H. Vaníček

Clin Osteol 2006; 11(4): 104-110

With prolonged survival of cystic fibrosis patients, new problems emerged, such as their bone health. Osteoporosis and its complications may increase their morbidity and mortality and negatively influence their life quality. There is a complex of negative contributing factors, especially unfavourable nutritional status, vitamin deficiencies, inflammation, low physical activity, cystic fibrosis related diabetes mellitus, liver disease, hypogonadism and systemic corticosteroids in late stages. Puberty and adolescence are specific risk periods from this point of view. Assessing bone mineral density in CF, body parameters and maturation should be taken...

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Clin Osteol 2006; 11(4): 112

News from around the worldLiterature

Clin Osteol 2006; 11(4): 113-115