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Pseudofractures in the absence of osteomalacia

✍ Scribed by Horace M. Perry; Robert S. Weinstein; Steven L. Teitelbaum; Louis V. Avioli; Michael D. Fallon


Publisher
Springer
Year
1982
Tongue
English
Weight
665 KB
Volume
8
Category
Article
ISSN
0364-2348

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✦ Synopsis


The presence of bilateral pseudofractures is generally considered a reliable radiologic diagnostic feature of osteomalacia. We report two women with long-standing bilaterally symmetrical femoral pseudofractures that did not demonstrate the histologic features of osteomalacia upon examination of non-decalcified sections of iliac crest bone. One patient treated empirically for osteomalacia developed evidence of early vitamin D intoxication. We conclude that there is no completely reliable non-invasive diagnostic test for osteomalacia.


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