title: Vitamin D deficiency mimicking chronic tension-type headache in children.
abstract: Headache, musculoskeletal pain and vitamin D deficiency, with possible inter-relationship, are common in the general population. We report cases of three premenarchal girls presenting with chronic tension-type headache and generalised body pain. The patients did not show any response to conventional therapy for tension headache. Investigations showed a severe vitamin D deficiency and biochemical osteomalacia in all three patients. The headaches and musculoskeletal pain responded markedly to vitamin D therapy. We suggest that musculoskeletal pain and headache together in a patient may be part of a single symptom complex, with vitamin D deficiency being the possible cause.
authors.affiliation: Department of Neurology, Smt BK Shah Medical Institute and Research Centre, Vadodara, Gujarat, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Prakash
authors.affiliation: Department of Neurology, Smt BK Shah Medical Institute and Research Centre, Vadodara, Gujarat, India.
authors.forename: Prayag
authors.initials: P
authors.lastname: Makwana
authors.affiliation: Department of Neurology, Smt BK Shah Medical Institute and Research Centre, Vadodara, Gujarat, India.
authors.forename: Chaturbhuj
authors.initials: C
authors.lastname: Rathore
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D063806:Myalgia / Q000209:etiology; D018781:Tension-Type Headache / Q000175:diagnosis* / Q000209:etiology; D014807:Vitamin D / Q000097:blood; D014808:Vitamin D Deficiency / Q000150:complications / Q000175:diagnosis*
chemical_list: D014807:Vitamin D
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