PMC6136575_01
Significant osteopenia noted on left hand radiograph and a reduction in bone age of 1 year based on the metacarpal and phalangeal epiphysis.
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An X-ray of his left wrist showed delayed bone age (Figure 1).
Bone mineral density scan of the vertebra (L1-L4) showing an age-matched Z score of -2.7.
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The diagnosis of osteoporosis was made when the DEXA scan revealed a Z score of -2.7 and -2.4 for the lumbar spine (Figure 2) and whole body (Figure 3), respectively.
A bone mineral density scan of the whole body showing an age-matched Z score of -2.4.
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fig3
The diagnosis of osteoporosis was made when the DEXA scan revealed a Z score of -2.7 and -2.4 for the lumbar spine (Figure 2) and whole body (Figure 3), respectively.