Open AccessA mysterious case of recurrent fracture: Tumour-induced osteomalacia
Author(s) -
Sahana Shetty,
Shruthi Ravindra,
Himamshu Acharya,
Subba Rao
Publication year - 2022
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_947_21
Subject(s) - medicine , osteomalacia , hypophosphatemia , myalgia , pathological , bone pain , hip pain , surgery , femur , osteoporosis , radiology , pathology
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.