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Rheumatology 2001; 40: 707-709
© 2001 British Society for Rheumatology

Letters to the Editor

A severe case of acquired hypophosphataemic osteomalacia: the perils of a missed diagnosis

J. R. MacGowan, J. Pringle1 and T. C. B. Stamp

Department of Bone and Mineral Metabolism and
1 Department of Morbid Anatomy, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK

SIR, A 61-yr-old man presented to his general practitioner (GP) in August 1990 with a 3-yr history of progressive bony pain and difficulty in walking. In January 1990 he had sustained a low trauma fracture of the left hip and, despite surgical repair, had remained wheelchair-bound. He was referred to a rheumatologist and subsequently to a neurologist, but no organic cause for his symptoms was found. In late 1997, because of persistent complaints of bone pain to his GP, he was referred to our department.

On examination he was unable to bear . . . [Full Text of this Article]

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