[Clinical Picture] Oncogenic osteomalacia: diagnosis, localisation, and cure

A 37-year-old female patient was referred to the rheumatology department at Treliske Hospital (Truro, UK) in April, 2015, following 8 months of rib pain, initially thought to be costochondritis. She had isolated hypophosphataemia (serum phosphate level 0·50 mmol/L) and a pelvic MRI identified stress fractures (figure, A). 14 months after her presentation she had a persistently low serum phosphate concentration, with normal parathyroid hormone and serum calcium levels, and a 25(OH) vitamin D concentration of 32ng/mL.

https://ift.tt/2MCvf0X