Scenario 2 – Part 2: Further laboratory investigations revealed normal thyroid and liver function tests, 25 (OH) vit D was 14 ng/mL. The patient underwent surgical decompression of the spinal cord and correction of the kyphosis according to the neurosurgeon’s recommendations. Denosumab 60 mg SC biyearly was started together with calcium and Vitamin D supplementation, […]
Scenario 2 – Part 1: A 38-year-old male with ESKD was referred to the neurosurgery clinic because of muscle weakness in both upper limbs and posterior neck pain. He had been undergoing peritoneal dialysis for five years. DEXA scan showed a T-score of −2.5 in left femoral head and −2.9 in lumbar spine. MRI scan […]
Scenario 1 – Part 2: The patient had been prescribed Vit D and phosphate supplements with a considerable improvement of his symptoms. One year earlier, the patient was seen at the gastroenterology clinic complaining of chronic diarrhea which has been attributed to the phosphate supplements after thorough investigations to exclude other causes. Unfortunately, CT abdomen […]
Scenario 1 – Part 1: A 24-year-old man was seen at the outpatient clinic because of persistent hypophosphatemia. The patient had been previously well until two years ago, when he developed a hip fracture upon falling downstairs. After which, he suffered generalised bony pains for the subsequent two years. Laboratory investigations performed at time of […]
