Journal of Family Medicine and Primary Care (Jan 2022)

A mysterious case of recurrent fracture: Tumour-induced osteomalacia

  • Sahana Shetty,
  • Shruthi Ravindra,
  • Himamshu Acharya,
  • Sharath K Rao

DOI
https://doi.org/10.4103/jfmpc.jfmpc_947_21
Journal volume & issue
Vol. 11, no. 3
pp. 1204 – 1207

Abstract

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We report a case of tumour-induced osteomalacia in a 59-year-old man who presented with a long-standing history of myalgia, bone pain and pathological fracture of the bilateral femur at different intervals in the past 4 years. A biochemical evaluation revealed hypophosphatemia secondary to phosphaturia. Localization study by Ga-68 DOTANOC PET-CT for adult-onset hypophosphatemic osteomalacia revealed a tumour in the right femoral head. Resection of the tumour resulted in clinical improvement as well as normalization of biochemical parameters.

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