Bone Health ECHO Case Report: Optimizing Bone Health in Low Fracture Risk Patient after Renal Transplant Treated with Chronic Glucocorticoids: A Case Study

Abstract

Bone Health ECHO (Extension for Community Healthcare Outcomes) is a virtual learning model established by University of New Mexico in 2015 to enhance global skeletal healthcare by supporting case-based discussions and best-practice sharing among clinicians. This case report highlights the presentation and discussion with Bone Health ECHO participants of a young patient with a history of lupus nephritis and a renal transplant 12 years prior, and maintained on chronic systemic glucocorticoids. Despite normal renal function and bone turnover markers, questions arose regarding the optimal approach to long-term skeletal management as the bone mass density is below expected for age. The discussion provided insights into managing such complex cases, emphasizing the importance of individualized care strategies in patients with unique risk factors for skeletal fragility.