Vitamin D Deficiency Presenting as Proximal Myopathy: An Overlooked Diagnosis - A Case Series and Review of the Literature
The prevalence of vitamin D deficiency is ubiquitous. Severe disease can present very dramatically and can be misleading to the treating physician, resulting in mismanagement. A high index of suspicion in vulnerable patients should help circumvent this problem, including a thorough history and phys...
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| Format: | Article |
| Language: | English |
| Published: |
European Medical Journal
2022-02-01
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| Series: | European Medical Journal |
| Online Access: | https://www.emjreviews.com/rheumatology/article/vitamin-d-deficiency-presenting-as-proximal-myopathy-an-overlooked-diagnosis-a-case-series-and-review-of-the-literature/ |
| _version_ | 1797193866923737088 |
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| author | Venkatraman Rajkumar |
| author_facet | Venkatraman Rajkumar |
| author_sort | Venkatraman Rajkumar |
| collection | DOAJ |
| description |
The prevalence of vitamin D deficiency is ubiquitous. Severe disease can present very dramatically and can be misleading to the treating physician, resulting in mismanagement. A high index of suspicion in vulnerable patients should help circumvent this problem, including a thorough history and physical examination to lead the clinician in the right direction. Insidious onset and progressive proximal pelvic girdle myopathy, in the absence of other neurological findings, in the appropriate patient should prompt the physician to test for serum 25 hydroxyvitamin D levels. The literature on endocrine myopathy does not highlight this condition as much as it does the thyroid, parathyroid, and adrenal aetiologies. Testing for vitamin D deficiency is simple, and treatment is available all over the world. The following article presents three patients, in different scenarios, with the condition. In all three patients, incapacitating pelvic girdle weakness resolved and quality of life improved dramatically with timely intervention. Most importantly, the correct approach prevented misdiagnosis and mismanagement. |
| first_indexed | 2024-04-24T05:47:12Z |
| format | Article |
| id | doaj.art-ad07bd2aa631427ab465c2601a856b49 |
| institution | Directory Open Access Journal |
| issn | 2397-6764 |
| language | English |
| last_indexed | 2024-04-24T05:47:12Z |
| publishDate | 2022-02-01 |
| publisher | European Medical Journal |
| record_format | Article |
| series | European Medical Journal |
| spelling | doaj.art-ad07bd2aa631427ab465c2601a856b492024-04-23T14:06:32ZengEuropean Medical JournalEuropean Medical Journal2397-67642022-02-0110.33590/emj/21-00248Vitamin D Deficiency Presenting as Proximal Myopathy: An Overlooked Diagnosis - A Case Series and Review of the LiteratureVenkatraman Rajkumar0Banting Clinic, Chennai, Tamil , India The prevalence of vitamin D deficiency is ubiquitous. Severe disease can present very dramatically and can be misleading to the treating physician, resulting in mismanagement. A high index of suspicion in vulnerable patients should help circumvent this problem, including a thorough history and physical examination to lead the clinician in the right direction. Insidious onset and progressive proximal pelvic girdle myopathy, in the absence of other neurological findings, in the appropriate patient should prompt the physician to test for serum 25 hydroxyvitamin D levels. The literature on endocrine myopathy does not highlight this condition as much as it does the thyroid, parathyroid, and adrenal aetiologies. Testing for vitamin D deficiency is simple, and treatment is available all over the world. The following article presents three patients, in different scenarios, with the condition. In all three patients, incapacitating pelvic girdle weakness resolved and quality of life improved dramatically with timely intervention. Most importantly, the correct approach prevented misdiagnosis and mismanagement.https://www.emjreviews.com/rheumatology/article/vitamin-d-deficiency-presenting-as-proximal-myopathy-an-overlooked-diagnosis-a-case-series-and-review-of-the-literature/ |
| spellingShingle | Venkatraman Rajkumar Vitamin D Deficiency Presenting as Proximal Myopathy: An Overlooked Diagnosis - A Case Series and Review of the Literature European Medical Journal |
| title | Vitamin D Deficiency Presenting as Proximal Myopathy: An Overlooked Diagnosis - A Case Series and Review of the Literature |
| title_full | Vitamin D Deficiency Presenting as Proximal Myopathy: An Overlooked Diagnosis - A Case Series and Review of the Literature |
| title_fullStr | Vitamin D Deficiency Presenting as Proximal Myopathy: An Overlooked Diagnosis - A Case Series and Review of the Literature |
| title_full_unstemmed | Vitamin D Deficiency Presenting as Proximal Myopathy: An Overlooked Diagnosis - A Case Series and Review of the Literature |
| title_short | Vitamin D Deficiency Presenting as Proximal Myopathy: An Overlooked Diagnosis - A Case Series and Review of the Literature |
| title_sort | vitamin d deficiency presenting as proximal myopathy an overlooked diagnosis a case series and review of the literature |
| url | https://www.emjreviews.com/rheumatology/article/vitamin-d-deficiency-presenting-as-proximal-myopathy-an-overlooked-diagnosis-a-case-series-and-review-of-the-literature/ |
| work_keys_str_mv | AT venkatramanrajkumar vitaminddeficiencypresentingasproximalmyopathyanoverlookeddiagnosisacaseseriesandreviewoftheliterature |