PMID- 27416072 OWN - NLM STAT- MEDLINE DCOM- 20170616 LR - 20181202 IS - 1545-5017 (Electronic) IS - 1545-5009 (Linking) VI - 63 IP - 11 DP - 2016 Nov TI - Zoledronate as effective treatment for minimal trauma fractures in a child with STAT3 deficiency and osteonecrosis of the hip. PG - 2054-7 LID - 10.1002/pbc.26119 [doi] AB - Signal transducer and activator of transcription 3 (STAT3) deficiency is a primary immunodeficiency characterized by eczema, complicated recurrent infections, elevated serum immunoglobulin E (IgE), osteopenia, and minimal trauma fractures. Zoledronic acid (ZA) is a long-acting bisphosphonate that has been successfully used in children with secondary osteoporosis and osteogenesis imperfecta. We describe the case of a 7-year-old male with STAT3 deficiency and minimal trauma fractures, who also developed osteonecrosis of the hip. He responded well to intravenous ZA every 6 months for 18 months. Three years later, he walks independently and unaided, and has not suffered any other fractures. Although more studies are needed, ZA might help reduce minimal trauma fractures in patients with STAT3 deficiency. CI - (c) 2016 Wiley Periodicals, Inc. FAU - Staines Boone, Aide Tamara AU - Staines Boone AT AD - Clinical Immunology Department, Hospital de Especialidades, Mexican Social Security Institute (IMSS), Monterrey, Nuevo Leon, Mexico. tamarastaines@gmail.com. FAU - Alcantara-Montiel, Julio Cesar AU - Alcantara-Montiel JC AD - Department of Molecular Biomedicine, Center for Research and Advanced Studies (CINVESTAV), National Polytechnic Institute (IPN), Mexico City, Mexico. FAU - Sanchez-Sanchez, Luz Maria AU - Sanchez-Sanchez LM AD - Department of Pediatrics, Hospital de Especialidades, Mexican Social Security Institute (IMSS), Monterrey, Nuevo Leon, Mexico. FAU - Arce-Cano, Marina AU - Arce-Cano M AD - Department of Pediatrics, Hospital de Especialidades, Mexican Social Security Institute (IMSS), Monterrey, Nuevo Leon, Mexico. FAU - Garcia-Campos, Jorge AU - Garcia-Campos J AD - Department of Infectious Diseases, Hospital de Especialidades, Mexican Social Security Institute (IMSS), Monterrey, Nuevo Leon, Mexico. FAU - Lugo Reyes, Saul Oswaldo AU - Lugo Reyes SO AD - Immunodeficiencies Research Unit, National Institute of Pediatrics (INP), Mexico City, Mexico. LA - eng PT - Case Reports PT - Journal Article DEP - 20160714 PL - United States TA - Pediatr Blood Cancer JT - Pediatric blood & cancer JID - 101186624 RN - 0 (Bone Density Conservation Agents) RN - 0 (Diphosphonates) RN - 0 (Imidazoles) RN - 0 (STAT3 Transcription Factor) RN - 0 (STAT3 protein, human) RN - 6XC1PAD3KF (Zoledronic Acid) SB - IM MH - Bone Density Conservation Agents/*therapeutic use MH - Child MH - Diphosphonates/*therapeutic use MH - Fractures, Bone/*drug therapy/etiology MH - Hip/*pathology MH - Humans MH - Imidazoles/*therapeutic use MH - Male MH - Osteonecrosis/*drug therapy MH - STAT3 Transcription Factor/*deficiency MH - Zoledronic Acid OTO - NOTNLM OT - STAT3 deficiency OT - arthroplasty OT - avascular necrosis of the hip OT - bisphosphonate OT - hyper-IgE syndrome OT - job syndrome OT - osteonecrosis of the femoral head OT - osteopenia OT - primary immunodeficiency OT - zoledronic acid EDAT- 2016/07/15 06:00 MHDA- 2017/06/18 06:00 CRDT- 2016/07/15 06:00 PHST- 2016/03/14 00:00 [received] PHST- 2016/05/17 00:00 [revised] PHST- 2016/06/05 00:00 [accepted] PHST- 2016/07/15 06:00 [entrez] PHST- 2016/07/15 06:00 [pubmed] PHST- 2017/06/18 06:00 [medline] AID - 10.1002/pbc.26119 [doi] PST - ppublish SO - Pediatr Blood Cancer. 2016 Nov;63(11):2054-7. doi: 10.1002/pbc.26119. Epub 2016 Jul 14.