Presentation
Chronic liver disease.
Patient Data
Age: 55 years
Gender: Female
From the case:
Osteopenia on DEXA
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PA Spine
- BMD for L2-L4 is 0.96 g/cm2
- T-score: -2.0 age-matched
- Z-score: -1.2
Left Proximal femur
- BMD for the total hip site is 0.84 g/cm2
- T-score: -1.6
- Age Matched Z-score: -0.8
Case Discussion
With a T score of -2.0 in the lumbar spine, this patient is considered osteopenic according to World Health Organization criteria. Z-score of -1.2 is low for someone of this age and gender. Fracture risk is moderate.
Case courtesy Dr Patsy Robertson, The Royal Melbourne Hospital.