Severe osteomalacia in a patient with idiopathic chronic pancreatitis.
We report a 30-year-old woman who was confined to a wheelchair because of severe myopathy. She was first seen by a neurologist because of a convulsive syndrome of unknown etiology when she was nine. She was started on anticonvulsive drugs but the drug was stopped when her serum calcium level was found to be very low. She had a history from childhood of steatorrhea and abdominal pain after a fatty meal and became vegetarian at age five years. She worked in a hospital as a nurse and at home her living room received no direct sunlight. As a result of these conditions osteomalacia progressed. We believe an awareness of chronic pancreatitis (CP) during childhood could have prevented the consequences of the disease in this case.
Kurtulmus
N
N
Division of Endocrinology, Metabolism and Nutrition, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Capa, Turkey. neslihandr@hotmail.com
Yarman
S
S
Tanakol
R
R
Alagol
F
F
D000328:Adult; D005260:Female; D006801:Humans; D010018:Osteomalacia / Q000209:etiology*; D050500:Pancreatitis, Chronic / Q000150:complications*; D045602:Steatorrhea / Q000209:etiology