What are metabolic bone disease complications associated with inflammatory bowel disease? Why?

• A. Osteol atender?
• B. Osteopenia and osteoporosis
• C. Hypercalcemia
• D. Calcinosis

Answer: (B)

Inflammatory bowel disease increases the risk of metabolic bone disease through chronic inflammation, malabsorption of calcium and vitamin D, nutritional deficits, and often corticosteroid use. All of these factors shift bone remodeling toward loss, leading to reduced bone mineral density. The typical, clinically relevant outcome is osteopenia that can progress to osteoporosis, increasing fracture risk. That’s why the best answer is osteopenia and osteoporosis.

Hypercalcemia would not be expected in this scenario, since the problem is low bone density, not elevated calcium. Calcinosis refers to calcium deposition in soft tissues and is not the pattern seen with metabolic bone disease in IBD.