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Serious underlying illness can present with vertebral fractures and can be missed if other clues from clinical examination and investigations are overlooked. We report a case emphasising this aspect.<\/jats:p>","DOI":"10.1136\/bcr-2017-223881","type":"journal-article","created":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T01:05:22Z","timestamp":1528765522000},"page":"bcr-2017-223881","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Osteoporosis and malignancy: a dicey combination"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9444-1154","authenticated-orcid":false,"given":"Nandhini","family":"Lakshmana Perumal","sequence":"first","affiliation":[{"name":"Department of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayakumar","family":"Selvi","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaya Prakash","family":"Sahoo","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadishkumar","family":"Kamalanathan","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,11]]},"reference":[{"key":"2025082622584025000_2018.jun11_1.bcr-2017-223881.1","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1038\/nrrheum.2012.93","article-title":"Recognizing and treating secondary osteoporosis","volume":"8","author":"Walker-Bone","year":"2012","journal-title":"Nat Rev Rheumatol"},{"key":"2025082622584025000_2018.jun11_1.bcr-2017-223881.2","doi-asserted-by":"crossref","unstructured":"Macedo F , Ladeira K , Pinho F , et al . 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