Tumor-Induced Osteomalacia  

Oleh:

Volbrecht, Jill E. ; Rao, D. Sudhaker

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 358 no. 12 (Mar. 2008), page 1282.

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2008.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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An 87-year-old woman was referred to the endocrinology clinic in 1979 for hypophosphatemia (serum phosphate level consistently <1.5 mg per deciliter [0.48 mmol per liter]) causing cramps and myalgia; tumor-induced osteomalacia was diagnosed. A radiograph of the hand showed a lytic lesion at the third metacarpal bone (Panel A, arrow). Results of a complete skeletal survey were negative. The patient declined biopsy and tumor resection but agreed to receive therapy with phosphate and calcitriol; there was some improvement in her serum phosphate levels, although normalization was never achieved. Although periodically lost to follow-up, the patient remained otherwise healthy, with no . . .

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