PT - JOURNAL ARTICLE AU - Mazeda, Caroline AU - Azevedo, Sofia AU - Sousa, Sérgio AU - Barcelos, Anabela TI - Not Everything is Osteoporosis: Multiple Low-Impact Fractures in an Adult Female Patient AID - 10.3899/jrheum.2024-0672 DP - 2025 Feb 01 TA - The Journal of Rheumatology PG - jrheum.2024-0672 4099 - http://www.jrheum.org/content/early/2025/01/26/jrheum.2024-0672.short 4100 - http://www.jrheum.org/content/early/2025/01/26/jrheum.2024-0672.full AB - Pycnodysostosis is a subtype of osteopetrosis resulting from mutations in the cathepsin K gene (CTSK) on chromosome 1q21.1,2 We report the case of a 47-year-old White female patient attending a rheumatology clinic with a history of multiple low-impact fractures in adulthood, including left and right subtrochanteric fractures and tibial shaft fractures at the ages of 46, 40, 31, and 22 years, respectively.