Proximal myopathy in lacto-vegetarian Asian patients responding to Vitamin D and calcium supplement therapy - two case reports and review of the literature
<p>Abstract</p> <p>Introduction</p> <p>Severe proximal myopathy can occasionally be the first presenting complaint of patients with osteomalacia. This may lead to investigations and misdiagnosis of a neuromuscular disease, rather than a metabolic bone disease.</p>...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2011-05-01
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| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/5/1/178 |
| _version_ | 1818472599346216960 |
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| author | Sreenan Seamus Barry Maurice Thabit Hood Smith Diarmuid |
| author_facet | Sreenan Seamus Barry Maurice Thabit Hood Smith Diarmuid |
| author_sort | Sreenan Seamus |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Severe proximal myopathy can occasionally be the first presenting complaint of patients with osteomalacia. This may lead to investigations and misdiagnosis of a neuromuscular disease, rather than a metabolic bone disease.</p> <p>Case presentations</p> <p>We present here two cases of severe proximal myopathy in patients who were both of South Asian origin and lacto-vegetarians: a 31-year-old Indian man and a 34-year-old Indian woman. In both cases, their clinical symptoms fully resolved following vitamin D and calcium replacement therapy. These patients were at risk of osteomalacia due to their dietary intake and ethnicity. The role of dietary intake and sunlight exposure in the development of osteomalacia in certain ethnic groups living in Western Europe is reviewed here.</p> <p>Conclusion</p> <p>These two cases emphasize the importance of recognizing osteomalacia in at-risk individuals, as the condition is reversible and easily treated with vitamin D and calcium supplementation. It may also help avoid prolonged and unnecessary investigations of these patients.</p> |
| first_indexed | 2024-04-14T04:10:43Z |
| format | Article |
| id | doaj.art-76bdd38ef79e44b590eb41b1ac98388f |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-14T04:10:43Z |
| publishDate | 2011-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-76bdd38ef79e44b590eb41b1ac98388f2022-12-22T02:13:13ZengBMCJournal of Medical Case Reports1752-19472011-05-015117810.1186/1752-1947-5-178Proximal myopathy in lacto-vegetarian Asian patients responding to Vitamin D and calcium supplement therapy - two case reports and review of the literatureSreenan SeamusBarry MauriceThabit HoodSmith Diarmuid<p>Abstract</p> <p>Introduction</p> <p>Severe proximal myopathy can occasionally be the first presenting complaint of patients with osteomalacia. This may lead to investigations and misdiagnosis of a neuromuscular disease, rather than a metabolic bone disease.</p> <p>Case presentations</p> <p>We present here two cases of severe proximal myopathy in patients who were both of South Asian origin and lacto-vegetarians: a 31-year-old Indian man and a 34-year-old Indian woman. In both cases, their clinical symptoms fully resolved following vitamin D and calcium replacement therapy. These patients were at risk of osteomalacia due to their dietary intake and ethnicity. The role of dietary intake and sunlight exposure in the development of osteomalacia in certain ethnic groups living in Western Europe is reviewed here.</p> <p>Conclusion</p> <p>These two cases emphasize the importance of recognizing osteomalacia in at-risk individuals, as the condition is reversible and easily treated with vitamin D and calcium supplementation. It may also help avoid prolonged and unnecessary investigations of these patients.</p>http://www.jmedicalcasereports.com/content/5/1/178 |
| spellingShingle | Sreenan Seamus Barry Maurice Thabit Hood Smith Diarmuid Proximal myopathy in lacto-vegetarian Asian patients responding to Vitamin D and calcium supplement therapy - two case reports and review of the literature Journal of Medical Case Reports |
| title | Proximal myopathy in lacto-vegetarian Asian patients responding to Vitamin D and calcium supplement therapy - two case reports and review of the literature |
| title_full | Proximal myopathy in lacto-vegetarian Asian patients responding to Vitamin D and calcium supplement therapy - two case reports and review of the literature |
| title_fullStr | Proximal myopathy in lacto-vegetarian Asian patients responding to Vitamin D and calcium supplement therapy - two case reports and review of the literature |
| title_full_unstemmed | Proximal myopathy in lacto-vegetarian Asian patients responding to Vitamin D and calcium supplement therapy - two case reports and review of the literature |
| title_short | Proximal myopathy in lacto-vegetarian Asian patients responding to Vitamin D and calcium supplement therapy - two case reports and review of the literature |
| title_sort | proximal myopathy in lacto vegetarian asian patients responding to vitamin d and calcium supplement therapy two case reports and review of the literature |
| url | http://www.jmedicalcasereports.com/content/5/1/178 |
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