Osteomalacia that became symptomatic 13 years after a total gastrectomy.
A 66-year-old man who underwent a total gastrectomy 13 years ago was admitted to our hospital complaining of severe low back pain and muscle weakness. Biochemical examinations revealed hypocalcemia, hypophosphathemia, low serum 25 (OH) vitamin D and hyperparathyroidism. A chest CT scan revealed pseudofractured ribs, whereas plain X-photography did not show any significant findings. We diagnosed the illness as osteomalacia due to malabsorption. The patient has been receiving oral active vitamin D and calcium, and the pain and serum calcium and phosphate values have improved to the point that he can receive out-patient treatment.
Kikuchi
H
H
Division of Pharmacotherapy, Research Institute, Miyagi Cancer Center, Natori.
Ujiie
S
S
Kanamaru
R
R
D000368:Aged; D002136:Calcium, Dietary / Q000008:administration & dosage; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D006887:Hydroxycholecalciferols / Q000627:therapeutic use; D017116:Low Back Pain / Q000209:etiology; D008286:Malabsorption Syndromes / Q000209:etiology; D008297:Male; D018908:Muscle Weakness / Q000209:etiology; D010018:Osteomalacia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013274:Stomach Neoplasms / Q000601:surgery; D013997:Time Factors
D002136:Calcium, Dietary; D006887:Hydroxycholecalciferols; C008088:alfacalcidol