多重脆弱性骨折合併庫欣氏症候群

Multiple Fragility Fractures Combined with Cushing's Syndrome

脆弱性骨折是一種骨鬆性骨折，長期服用糖皮質類固醇會增加骨折風險，當脆弱性骨折病人否認曾經服用類固醇的情況下，不易察覺病人疾病症狀可能與糖皮質類固醇有關。本文介紹1位56歲女性，於同一年反覆發生骨盆及多處脊椎壓迫性骨折的個案，住院期間出現高血糖、低血鉀、高血壓、反覆發燒等現象，經過詳細的評估及檢查後，診斷為外源性庫欣氏症候群。藉此案的治療及診斷過程與醫護同仁分享，當有出現類似症狀之病友應將此納入鑑別診斷之參考。

A fragility fracture, often associated with osteoporosis, commonly affects the elderly, and can affect individuals with a long history of glucocorticoid use. Identifying the link between disease symptoms and glucocorticoid use can be challenging, especially when patients report no history of steroid intake. This article discusses the case of a 56-year-old woman who experienced recurrent pelvic and multiple vertebral compression fractures within a single year. During her hospital stay, she exhibited symptoms such as hyperglycemia, hypokalemia, hypertension, and recurrent fevers. After thorough evaluation and examination, she was diagnosed with exogenous Cushing's syndrome. By sharing the details of this case and the treatment approach, we aim to highlight the importance of considering Cushing's syndrome in the differential diagnosis for similar presentations. This case serves as a reference for medical professionals when diagnosing patients with comparable symptoms.