PARATHYROIDECTOMY IN OSTEOMALACIA

Osteomalacia in rheumatoid arthritis.

Fifty-four patients with rheumatoid arthritis and severe osteomalacia were found to have considerable bone and general deficiency problems. In 46 of them 14 stress fractures occurred and 32 minimal trauma fractures necessitating admission to hospital. Radiological abnormalities of absorption were found in nearly 25% of the total, implying that dietary factors alone are not always responsible fo...

Subtrochanteric fractures in osteomalacia.

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...

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...

Axial osteomalacia.

total calcium with overt bone disease is hard to explain. The history of constipation, nocturia and polyuria, albeit mild, do suggest hypercalcaemia and it may be that the ionized calcium was elevated without the total calcium being raised. There are many points of similarity in the patient reported here with the case reported by Mather in 1953. His patient was a 39-year-old woman who had devel...