dc.contributor.author |
Narang, Ravi K |
en |
dc.contributor.author |
Reid, Ian |
en |
dc.date.accessioned |
2020-04-03T02:52:02Z |
en |
dc.date.issued |
2019-07-08 |
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dc.identifier.issn |
1757-790X |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/50240 |
en |
dc.description.abstract |
A 56-year-old man was referred with left-sided hip pain. MRI scans demonstrated an undisplaced stress fracture in the femoral neck and subchondral oedema within the femoral head. Bone densitometry showed T-scores of -2.0 at the spine, -3.5 at the femoral neck and -2.4 for the total hip. Laboratory tests revealed 25-hydroxyvitamin D <10 nmol/L. He was prescribed a 10-day course of calciferol 1.25 mg (50 000 IU)/day and started on calcium carbonate 1.25 g twice daily. Following the correction of vitamin D deficiency, his symptoms resolved. A striking feature of this patient was the complete reversal of 'osteoporosis' within 14 months with vitamin D and calcium supplementation. Bone mineral densities (BMDs) increased by 19.5% and 33.4% at the spine and hip, respectively. Such changes are never seen with conventional pharmacological management of osteoporosis. Vitamin D deficiency should be considered as a cause for reduced BMD in people with risk factors. |
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dc.format.medium |
Electronic |
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dc.language |
eng |
en |
dc.relation.ispartofseries |
BMJ case reports |
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dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
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dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
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dc.subject |
Femur Neck |
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dc.subject |
Humans |
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dc.subject |
Osteomalacia |
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dc.subject |
Vitamin D Deficiency |
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dc.subject |
Fractures, Stress |
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dc.subject |
Calcifediol |
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dc.subject |
Vitamin D |
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dc.subject |
Magnetic Resonance Imaging |
en |
dc.subject |
Treatment Outcome |
en |
dc.subject |
Bone Density |
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dc.subject |
Aged |
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dc.subject |
Male |
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dc.subject |
Bone Density Conservation Agents |
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dc.title |
Osteomalacia in subtropical Auckland. |
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dc.type |
Journal Article |
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dc.identifier.doi |
10.1136/bcr-2019-229657 |
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pubs.issue |
7 |
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pubs.volume |
12 |
en |
dc.rights.holder |
Copyright: The author |
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pubs.publication-status |
Published |
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dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Journal Article |
en |
pubs.subtype |
Case Reports |
en |
pubs.elements-id |
777516 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Medicine Department |
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pubs.org-id |
Science |
en |
pubs.org-id |
Science Research |
en |
pubs.org-id |
Maurice Wilkins Centre (2010-2014) |
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dc.identifier.eissn |
1757-790X |
en |
pubs.record-created-at-source-date |
2019-07-11 |
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pubs.dimensions-id |
31289164 |
en |