Review Note
Last Update: 09/11/2023 08:56 PM
Current Deck: L38 Bone and Joints Path II
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What is the likely diagnosis in a patient with celiac sprue that develops diffuse bone pain, muscle weakness, and the laboratory results below?
Ca2+:low/normal
Phosphate: low
PTH: high
Alkaline phosphatase: high
{{c1::Osteomalacia}}
Extra
malabsorption due to celiac leads to vitamin D deficiency;
low calcium and phosphorus uptake leads to secondary hyperparathyroidism, which increases calcium absorption in bone and kidney, causing high alkaline phosphatase and normalized calcium but lowered phosphate.


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Pathoma
Boards and Beyond
First Aid
Sketchy
Pixorize
Physeo
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