title: Oncogenic hypophosphatemic osteomalacia: From the first signal of disease to the first signal of healthy.
abstract: BACKGROUND
  The physical incapacitation of the oncogenic hypophosphatemic osteomalacia (OHO) can be catastrophic and can lead to deformities, metabolic and organic instability and death. The only positive outcome is through early diagnosis by the clinical suspicion. At this moment, medical center infrastructure is also a keypoint.
  
  
  METHODS
  This case report is about a 60-year old woman with multiple fractures, gradual loss of strength and muscle mass and limiting deformities in two years of evolution until the diagnostic.
  
  
  CONCLUSIONS
  The lack of knowledge of this disease causes a delay in diagnosis that can bring deformities to the patient, as well as death. Is crucial that is hypothesized to carry out the necessary tests, since they are expensive and not always available.
  
  
  CONCLUSIONS
  This case reinforces the importance to understand the OHO and tumoral search, once this lesion is, in most cases, imperceptible to physical examination or several imaging studies.
authors.affiliation: General Surgery Unit, Universidade Federal De Ciências Da Saúde De Porto Alegre, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS 90050-170, Brazil. Electronic address: arthurpgatti@hotmail.com.
authors.forename: Arthur Paredes
authors.initials: AP
authors.lastname: Gatti
authors.affiliation: General Surgery Unit, Universidade Federal De Ciências Da Saúde De Porto Alegre, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS 90050-170, Brazil.
authors.forename: Luiza
authors.initials: L
authors.lastname: Tonello
authors.affiliation: General Surgery Unit, Universidade Federal De Ciências Da Saúde De Porto Alegre, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS 90050-170, Brazil.
authors.forename: João Alfredo Diedrich
authors.initials: JA
authors.lastname: Neto
authors.affiliation: General Surgery Unit, Universidade Federal De Ciências Da Saúde De Porto Alegre, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS 90050-170, Brazil.
authors.forename: Uirá Fernandes
authors.initials: UF
authors.lastname: Teixeira
authors.affiliation: General Surgery Unit, Universidade Federal De Ciências Da Saúde De Porto Alegre, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS 90050-170, Brazil.
authors.forename: Marcos Bertozzi
authors.initials: MB
authors.lastname: Goldoni
authors.affiliation: General Surgery Unit, Universidade Federal De Ciências Da Saúde De Porto Alegre, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS 90050-170, Brazil.
authors.forename: Paulo Roberto Ott
authors.initials: PR
authors.lastname: Fontes
authors.affiliation: General Surgery Unit, Universidade Federal De Ciências Da Saúde De Porto Alegre, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS 90050-170, Brazil.
authors.forename: José Artur
authors.initials: JA
authors.lastname: Sampaio
authors.affiliation: General Surgery Unit, Universidade Federal De Ciências Da Saúde De Porto Alegre, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS 90050-170, Brazil.
authors.forename: Luiz Maraninchi Pereira
authors.initials: LM
authors.lastname: Lima
authors.affiliation: General Surgery Unit, Universidade Federal De Ciências Da Saúde De Porto Alegre, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS 90050-170, Brazil.
authors.forename: Fábio Luiz
authors.initials: FL
authors.lastname: Waechter
keywords: Cancer; Oncogenic osteomalacia; Tumor