Osteomalacia (Vit D deficiency)

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Causes

  • Malabsorption
  • Bariatric surgery
  • Celiac Sprue
  • Chronic liver disease
  • CKD

Presentation

  • Asymptomatic
  • Bone pain, muscle weakness/cramps
  • Waddling gait

Diagnosis

  • Alk. Phosphatase
  • PTH
  • Ca, P, Uca, 25 OH-Vit D
  • X-rays: bone density, codfish vertebral bodies, pseudofractures