Osteomalacia and osteoporosis associated with primary intestinal lymphangiectasis.
Primary Intestinal lymphangiectasia (PIL) is a common cause of protein losing enteropathy (PLE). It will affect enter-hepatic circulation of lipid-soluble vitamin, and absorption of electrolytes, cause malnutrition related osteomalacia or osteoporosis. While seldom health care workers noted to assess and treat osteomalacia or osteoporosis in PIL. Here we report a related case. We found increased parathyroid hormone, decreased 25(OH)D3, low bone mineral density, which indicated that the PIL patient had osteomalacia and/or osteoporosis. Adequate calcium and vitamin D supply can relieve the condition efficaciously. We should pay attention to osteomalacia and osteoporosis in PIL patients.
Key Laboratory of Endocrine, Ministry of Health, Department of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
Xin-Ping
XP
Li
Wen-Bin
WB
Shen
Ming-Qing
MQ
Long
Xun-Wu
XW
Meng
Xiao-Lan
XL
Lian
Miao
M
Yu
D000293:Adolescent; D005260:Female; D006801:Humans; D008201:Lymphangiectasis, Intestinal / Q000175:diagnosis*; D010018:Osteomalacia / Q000175:diagnosis*; D010024:Osteoporosis / Q000175:diagnosis*