Osteomalacia

osteomalacia

softening of the bones secondary to low vitamin D levels that lead to decreased bone mineral content, rickets in kids

causes

vit D deficiency due to malabsorption, lack of sunlight, diet, CKD, drug induced eg anticonvulsants, inherited, liver disease, coeliac disease

features

bone pain, bone/muscle tenderness, fracture especially NOF, proximal myopathy (can lead to waddling gait)

investigations

bloods - low vit D, low calcium and phosphate, raised alp, translucent bands on X-ray

treatment

vitamin D supplements, calcium supplements