Osteomalacia, pseudosacroiliitis and necrosis of the femoral heads in Fanconi syndrome in an adult.
The symptom of bone pain led to the discovery of Fanconi syndrome in a 20-yr-old patient. The presenting osteomalacia was associated with an early deterioration of the sacroiliac joint and osteonecrosis of both femoral heads. The coexistence of these 2 unusual disorders was not coincidental. A diagnosis of osteomalacia was considered because of impaired mineralization predominantly affecting the median part of the sacroiliac joints. The bone necroses, of probable microfracture origin, were probably directly related to the osteomalacia.
D000328:Adult; D005198:Fanconi Syndrome / Q000150:complications*; D005271:Femur Head Necrosis / Q000209:etiology*; D006801:Humans; D007592:Joint Diseases / Q000209:etiology*; D008297:Male; D010018:Osteomalacia / Q000209:etiology*; D010388:Pelvis / Q000000981:diagnostic imaging; D011859:Radiography; D012446:Sacroiliac Joint / Q000473:pathology