title: Osteomalacia due to a bladder reconstruction performed 35 years previously.
abstract: We report a 54-year-old man with osteomalacia due to a bladder reconstruction performed 35 years previously. He had had slowly progressive chest and back pain for 18 months. Osteomalacia due to metabolic acidosis was suspected based on hyperalkalinephosphatasemia and a high serum chloride level, and the diagnosis was confirmed by bone scintigraphy. His symptoms and blood electrolyte levels were improved by oral medication, including sodium hydrogen carbonate. Measurement of the serum chloride level is simple and useful for evaluating acidosis, for which a regular blood test is essential in patients who have undergone bladder reconstruction.
authors.affiliation: Department of General Medicine, Chiba University Hospital, Japan. misa-hirukawa@swan.ocn.ne.jp
authors.forename: Misa
authors.initials: M
authors.lastname: Hirukawa
authors.forename: Hiraku
authors.initials: H
authors.lastname: Funakoshi
authors.forename: Tomoko
authors.initials: T
authors.lastname: Tsukamoto
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Ohira
authors.forename: Masatomi
authors.initials: M
authors.lastname: Ikusaka
mesh_terms: D000138:Acidosis / Q000097:blood / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010018:Osteomalacia / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D017693:Sodium Bicarbonate / Q000627:therapeutic use; D012965:Sodium Chloride / Q000097:blood; D013997:Time Factors; D014398:Tuberculosis, Renal / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects*
chemical_list: D012965:Sodium Chloride; D017693:Sodium Bicarbonate