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Adult-onset hypophosphatemic osteomalacia associated with Sjogren syndrome: Clinical case report.

Abstract Hypophosphatemic osteomalacia (HO) is a metabolic bone disease, exhibiting different etiologies such as genetic mutation, tumor induction, dysimmunity, or renal disease. Sjogren's syndrome (SS) is a connective tissue disorder commonly involving exocrine glands; however kidney involvement is also encountered, leading to abnormal phosphorus metabolism, even HO.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28353596
OWN - NLM
STAT- MEDLINE
DA  - 20170329
DCOM- 20170406
LR  - 20170406
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 13
DP  - 2017 Mar
TI  - Adult-onset hypophosphatemic osteomalacia associated with Sjogren syndrome:
      Clinical case report.
PG  - e6493
LID - 10.1097/MD.0000000000006493 [doi]
AB  - RATIONALE: Hypophosphatemic osteomalacia (HO) is a metabolic bone disease,
      exhibiting different etiologies such as genetic mutation, tumor induction,
      dysimmunity, or renal disease. Sjogren's syndrome (SS) is a connective tissue
      disorder commonly involving exocrine glands; however kidney involvement is also
      encountered, leading to abnormal phosphorus metabolism, even HO. PATIENT
      CONCERNS: A 47-year-old female patient presented progressively worsening pain in 
      the chest wall, back and bilateral lower extremities as well as muscle weakness
      was referred to our department. DIAGNOSES, INTERVENTIONS AND OUTCOMES: Due to the
      laboratory test results, radiographic findings and pathologic results, she was
      diagnosed with adult-onset HO associated with SS. She was then treated with
      alkalinization, steroids, neutral phosphate, calcium supplements together with
      activated vitamin D. So far, she recovered uneventfully with relieved pain and
      increased serum phosphorus level. LESSONS: HO may be secondary to renal tubular
      acidosis of SS patients, and it might be a diagnostic challenge when the kidney
      involvement in SS is latent and precede the typical sicca symptoms.
FAU - Shen, Guohua
AU  - Shen G
AD  - aDepartment of Nuclear Medicine, West China Hospital of Sichuan University
      bDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan
      University, Chengdu, Sichuan, People's Republic of China.
FAU - Zhang, Yuwei
AU  - Zhang Y
FAU - Hu, Shuang
AU  - Hu S
FAU - Liu, Bin
AU  - Liu B
FAU - Kuang, Anren
AU  - Kuang A
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Female
MH  - Humans
MH  - Hypophosphatemia/diagnostic imaging/*etiology
MH  - Middle Aged
MH  - Osteomalacia/diagnostic imaging/*etiology
MH  - Positron-Emission Tomography
MH  - Sjogren's Syndrome/*complications/diagnostic imaging
EDAT- 2017/03/30 06:00
MHDA- 2017/04/07 06:00
CRDT- 2017/03/30 06:00
AID - 10.1097/MD.0000000000006493 [doi]
AID - 00005792-201703310-00042 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Mar;96(13):e6493. doi: 10.1097/MD.0000000000006493.

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