Osteomalacia due to Gluten Sensitive EnteropathyNilgün Akbulut1, Haluk Sargın1, Füsun Bölükbaş2, Demet Taşan1, Oya Bayramiçli2, Ahmet Alper3, Güray Kılıç4, Ali Yayla11Dr. Lutfi Kirdar Kartal Training and Research Hospital, Clinic of Internal Medicine, Istanbul 2Dr. Lutfi Kirdar Kartal Training and Research Hospital, Gastroenterology, Istanbul 3Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center of Cardiology, Istanbul 4Haydarpasa Numune Hospital Pathology, Istanbul
Osteomalacia is a pathologic clinical feature caused by the impaired bone and cartilage mineralization. Clinical manifestations are not apparent. Vitamin D provides adequate calcium and phosphorus concentration for mineralization in extracellular matrix. In vitamin D deficiency mineralization is impaired.
Clinical symptoms and signs of osteomalacia are mild and thus not useful for diagnosis. In severe cases bone pain and tenderness, muscle atrophy can be observed. If the diagnosis of the osteomalacia is delayed, it can easily be mixed up with osteoporosis which is observed in elderly people. The case which had been presented with diffuse muscle spasm, osteoporosis and pseudofracture reminded us about the late complications of gluten enteropathy and about how the diagnosis is delayed, and thus we decided to report it. Keywords: Osteomalacia, gluten enteropathy
Etyolojisinde Gluten Sensitif Enteropati Olan OsteomalaziNilgün Akbulut1, Haluk Sargın1, Füsun Bölükbaş2, Demet Taşan1, Oya Bayramiçli2, Ahmet Alper3, Güray Kılıç4, Ali Yayla11Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi, İç Hastalıkları Kliniği, İstanbul 2Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi, Gastroenteroloji Kliniği, İstanbul 3Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Merkezi Kardiyoloji Kliniği, İstanbul 4Haydarpaşa Numune Hastanesi Patoloji Kliniği, İstanbul Anahtar Kelimeler: Osteomalazi, gluten enteropatisi
Nilgün Akbulut, Haluk Sargın, Füsun Bölükbaş, Demet Taşan, Oya Bayramiçli, Ahmet Alper, Güray Kılıç, Ali Yayla. Osteomalacia due to Gluten Sensitive Enteropathy. Medeniyet Med J. 2002; 17(1): 51-52
Corresponding Author: Nilgün Akbulut, Türkiye |
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