Phosphopenic form of osteomalacia in a patient with FGF23 producing tumor

Oncogenic osteomalacia is an orphan disease caused by the overproduction of fibroblast growth factor 23 (FGF23) in tumors, which leads to impaired bone matrix mineralization. Typical laboratory changes are hypophosphatemia, increased alkaline phosphatase, hyperphosphaturia, and decreased tubular pho...

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Main Authors: A. S. Pushkareva, E. E. Bibik, A. K. Eremkina, M. V. Degtyarev, N. G. Mokrysheva
Format: Article
Language:Russian
Published: IMA PRESS LLC 2022-05-01
Series:Научно-практическая ревматология
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Online Access:https://rsp.mediar-press.net/rsp/article/view/3159
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author A. S. Pushkareva
E. E. Bibik
A. K. Eremkina
M. V. Degtyarev
N. G. Mokrysheva
author_facet A. S. Pushkareva
E. E. Bibik
A. K. Eremkina
M. V. Degtyarev
N. G. Mokrysheva
author_sort A. S. Pushkareva
collection DOAJ
description Oncogenic osteomalacia is an orphan disease caused by the overproduction of fibroblast growth factor 23 (FGF23) in tumors, which leads to impaired bone matrix mineralization. Typical laboratory changes are hypophosphatemia, increased alkaline phosphatase, hyperphosphaturia, and decreased tubular phosphate reabsorption index. Surgery is the treatment of choice to eliminate an excessive production of FGF23. If surgical intervention is ineffective or impossible, preparations of phosphorus, calcium, vitamin D are prescribed. We present a clinical case of the stage-bystage diagnosis and treatment of the patient with chronic pain syndrome in the bones and multiple fractures.
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institution DOAJ
issn 1995-4484
1995-4492
language Russian
publishDate 2022-05-01
publisher IMA PRESS LLC
record_format Article
series Научно-практическая ревматология
spelling doaj-art-38fccddf42f84a5fad01b836d60fe95d2025-08-20T02:55:20ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922022-05-0160224925510.47360/1995-4484-2022-249-2552803Phosphopenic form of osteomalacia in a patient with FGF23 producing tumorA. S. Pushkareva0E. E. Bibik1A. K. Eremkina2M. V. Degtyarev3N. G. Mokrysheva4The National Medical Research Center for EndocrinologyThe National Medical Research Center for EndocrinologyThe National Medical Research Center for EndocrinologyThe National Medical Research Center for EndocrinologyThe National Medical Research Center for EndocrinologyOncogenic osteomalacia is an orphan disease caused by the overproduction of fibroblast growth factor 23 (FGF23) in tumors, which leads to impaired bone matrix mineralization. Typical laboratory changes are hypophosphatemia, increased alkaline phosphatase, hyperphosphaturia, and decreased tubular phosphate reabsorption index. Surgery is the treatment of choice to eliminate an excessive production of FGF23. If surgical intervention is ineffective or impossible, preparations of phosphorus, calcium, vitamin D are prescribed. We present a clinical case of the stage-bystage diagnosis and treatment of the patient with chronic pain syndrome in the bones and multiple fractures.https://rsp.mediar-press.net/rsp/article/view/3159osteomalaciatumorhypophosphatemiafracturefgf23
spellingShingle A. S. Pushkareva
E. E. Bibik
A. K. Eremkina
M. V. Degtyarev
N. G. Mokrysheva
Phosphopenic form of osteomalacia in a patient with FGF23 producing tumor
Научно-практическая ревматология
osteomalacia
tumor
hypophosphatemia
fracture
fgf23
title Phosphopenic form of osteomalacia in a patient with FGF23 producing tumor
title_full Phosphopenic form of osteomalacia in a patient with FGF23 producing tumor
title_fullStr Phosphopenic form of osteomalacia in a patient with FGF23 producing tumor
title_full_unstemmed Phosphopenic form of osteomalacia in a patient with FGF23 producing tumor
title_short Phosphopenic form of osteomalacia in a patient with FGF23 producing tumor
title_sort phosphopenic form of osteomalacia in a patient with fgf23 producing tumor
topic osteomalacia
tumor
hypophosphatemia
fracture
fgf23
url https://rsp.mediar-press.net/rsp/article/view/3159
work_keys_str_mv AT aspushkareva phosphopenicformofosteomalaciainapatientwithfgf23producingtumor
AT eebibik phosphopenicformofosteomalaciainapatientwithfgf23producingtumor
AT akeremkina phosphopenicformofosteomalaciainapatientwithfgf23producingtumor
AT mvdegtyarev phosphopenicformofosteomalaciainapatientwithfgf23producingtumor
AT ngmokrysheva phosphopenicformofosteomalaciainapatientwithfgf23producingtumor