Osteomalacia and looser zones

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Hypophosphatemic rickets and osteomalacia.

The hypophosphatemic conditions that interfere in bone mineralization comprise many hereditary or acquired diseases, all of them sharing the same pathophysiologic mechanism: reduction in the phosphate reabsorption by the renal tubuli. This process leads to chronic hyperphosphaturia and hypophosphatemia, associated with inappropriately normal or low levels of calcitriol, causing osteomalacia or ...

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Although the relationship between rickets and vitamin D was recognized over 60 years ago it is only relatively recently that the metabolic pathway leading to the active form of vitamin D was recognized. We now understand that vitamin D in the form of one of its active metabolites is necessary for the maintenance of calcium homeostasis and we appreciate in part the mechanisms by which this is br...

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Oncogenic osteomalacia

Severe osteomalacia (confirmed by the examination of thin undecalcified bone biopsy sections) associated with hypophosphataemia developed in a 60 year old woman. A skeletal x-ray survey showed a lytic lesion in the right proximal femur, and this was curetted, showing a vascular tumour. The patient's symptoms improved almost immediately and serum phosphate concentrations returned to normal. Some...

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Oncogenic osteomalacia.

Severe osteomalacia (confirmed by the examination of thin undecalcified bone biopsy sections) associated with hypophosphataemia developed in a 60 year old woman. A skeletal x-ray survey showed a lytic lesion in the right proximal femur, and this was curetted, showing a vascular tumour. The patient's symptoms improved almost immediately and serum phosphate concentrations returned to normal. Some...

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ژورنال

عنوان ژورنال: QJM: An International Journal of Medicine

سال: 2018

ISSN: 1460-2725,1460-2393

DOI: 10.1093/qjmed/hcy293