A case of osteomalacia mimicking ankylosing spondylitis.
A 39-year-old woman presented with symptoms of pain in the lumbar region and lower extremities. Physical findings included restricted movement of the lumbar spine, sacroiliac joint tenderness, positive Schober's test (10-12.5 cm), and bilaterally positive Mennel and Fabere tests. Although these symptoms and findings were suggestive of ankylosing spondylitis, osteomalacia was diagnosed with the appearance of multiple pseudofractures in her pelvic X-ray and laboratory abnormalities. All her symptoms and signs resolved in 6 months with vitamin D and calcium treatment.
Akkus
S
S
Department of Physical Medicine and Rehabilitation, Süleyman Demirel University Medical School, Isparta, Turkey.
Tamer
M N
MN
Yorgancigil
H
H
D000328:Adult; D017610:Calcium Compounds / Q000008:administration & dosage; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D010018:Osteomalacia / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D010384:Pelvic Bones / Q000293:injuries*; D011859:Radiography; D013167:Spondylitis, Ankylosing / Q000175:diagnosis* / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D014807:Vitamin D / Q000008:administration & dosage
D017610:Calcium Compounds; D014807:Vitamin D