Abstract |
Patients with osteomalacia often visit the neurology department with conditions mimicking other myopathies. We analyzed clinical features of osteomalacia patients who visited the neurology department. These patients frequently presented with hypocalcemia, hypovitaminosis D, and pain with less severe weakness. Osteomalacia should be considered when patients present with pain and weakness. INTRODUCTION:
Osteomalacia is a disease of bone metabolism; however, some patients with osteomalacia initially visit the neurology department. As these patients often complain of weakness and gait disturbance, osteomalacia can be confused with other myopathies. We analyzed the clinical features of patients with osteomalacia who visited the neurology department. METHODS: We retrospectively reviewed the medical records. Osteomalacia was diagnosed based on symptoms, laboratory features, and imaging results. We compared the characteristics of patients with osteomalacia who visited the neurology department with (1) those who did not visit the neurology department and (2) patients with idiopathic inflammatory myopathy. RESULTS: CONCLUSIONS: It was not uncommon for patients with osteomalacia to visit the neurology department. The clinical presentation of these patients can be more complex owing the superimposed neurological disease and accompanying hypocalcemia. Osteomalacia should be considered when patients present with pain and weakness.
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Authors | S W Kim, N Hong, Y Rhee, Y-C Choi, H Y Shin, S M Kim |
Journal | Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
(Osteoporos Int)
Vol. 29
Issue 7
Pg. 1617-1626
(Jul 2018)
ISSN: 1433-2965 [Electronic] England |
PMID | 29623355
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Diagnosis, Differential
- Female
- Humans
- Hypocalcemia
(etiology)
- Hypophosphatemia
(etiology)
- Male
- Middle Aged
- Muscle Weakness
(etiology)
- Myositis
(diagnosis)
- Osteomalacia
(complications, diagnosis)
- Pain
(etiology)
- Retrospective Studies
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