Case report HORMONES 2016, 15(4):551-556 Address for correspondence: Maria P. Yavropoulou, MD, MSc, PhD, Endocrinologist, Senior Registrar NHS, Division of Endocrinology and Metabolism, 1st Department of Internal Medicine, AHEPA Univ. Hospital, 1 S. Kyriakidi Str., 54636, Thessaloniki, Greece; Tel.: +30 2310 993187, Fax: +30 2310 993187, E-mail: margia@med.auth.gr, Webpage: http://www.maria-yavropoulou.eu/ Received: 21-09-201621-09- , Accepted: 20-10-2016 552 M.P. YAVRoPoULoU ET AL col1A1, and lpr-5 genes in a young male adult caused severe osteoporosis with multiple fractures, suggesting a combined effect and/or interaction between these genes.