Severe skeletal disability and abnormal biochemical tests & disease review

Musculoskeletal pain is the most common disorder encountered in our clinical practice that afflicts all individuals around world and has not exempted gender, ethnicity, color, or age. The tissues which are affected muscles, ligaments, tendons, cartilages, bones. It can be caused by a wide range of etiologies. Chronic musculoskeletal causes significant morbidity associated with varying degrees physical emotional disabilities. Vitamin D deficiency been given major concern last 3 decades linked special predilection for some ethnic groups, geographical regions, high-risk groups from extreme age, social religious customs, importantly sun exposure lack intake. We received this patient was young woman good socioeconomic status sunny climate year. had referred Orthopedics department (late December 2013) to Endocrine Diabetes Clinic as having g skeletal disability chronic abnormal laboratory tests, eventually demonstrated secondary hyperparathyroidism modest hypocalcemia. Clinical work-up hypovitaminosis disorder; Osteomalacia, but precise etiology could detected remained speculative!