Osteopetrosis, Hypophosphatemia, and Phosphaturia in a Young Man: A Case Presentation and Differential Diagnosis

We report the case of a 30-year-old African-American male with osteopetrosis and hypophosphatemia, presenting with diffuse myalgias. Laboratory evaluation performed revealed a low serum phosphorus level with urinary phosphate wasting, low calcium, and 25-hydroxyvitamin D concentrations, as well as e...

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Main Authors: Zahi Mitri, Vin Tangpricha
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2012/238364
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author Zahi Mitri
Vin Tangpricha
author_facet Zahi Mitri
Vin Tangpricha
author_sort Zahi Mitri
collection DOAJ
description We report the case of a 30-year-old African-American male with osteopetrosis and hypophosphatemia, presenting with diffuse myalgias. Laboratory evaluation performed revealed a low serum phosphorus level with urinary phosphate wasting, low calcium, and 25-hydroxyvitamin D concentrations, as well as elevated alkaline phosphatase. Skull and pelvic radiographs revealed high bone density consistent with high bone mass found on bone mineral density reports. PHEX gene mutation analysis was negative. Patient was started on calcium and phosphorus replacement, and he clinically improved. This paper will review the different subtypes of osteopetrosis, and the evaluation of hypophosphatemia.
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spelling doaj-art-c0e7f53cc72045ce8419b7ecc95603a12025-08-20T03:23:24ZengWileyCase Reports in Endocrinology2090-65012090-651X2012-01-01201210.1155/2012/238364238364Osteopetrosis, Hypophosphatemia, and Phosphaturia in a Young Man: A Case Presentation and Differential DiagnosisZahi Mitri0Vin Tangpricha1Department of Medicine, Emory University School of Medicine, 101 Woodruff Circle NE, Atlanta, GA 30322, USADepartment of Medicine, Emory University School of Medicine, 101 Woodruff Circle NE, Atlanta, GA 30322, USAWe report the case of a 30-year-old African-American male with osteopetrosis and hypophosphatemia, presenting with diffuse myalgias. Laboratory evaluation performed revealed a low serum phosphorus level with urinary phosphate wasting, low calcium, and 25-hydroxyvitamin D concentrations, as well as elevated alkaline phosphatase. Skull and pelvic radiographs revealed high bone density consistent with high bone mass found on bone mineral density reports. PHEX gene mutation analysis was negative. Patient was started on calcium and phosphorus replacement, and he clinically improved. This paper will review the different subtypes of osteopetrosis, and the evaluation of hypophosphatemia.http://dx.doi.org/10.1155/2012/238364
spellingShingle Zahi Mitri
Vin Tangpricha
Osteopetrosis, Hypophosphatemia, and Phosphaturia in a Young Man: A Case Presentation and Differential Diagnosis
Case Reports in Endocrinology
title Osteopetrosis, Hypophosphatemia, and Phosphaturia in a Young Man: A Case Presentation and Differential Diagnosis
title_full Osteopetrosis, Hypophosphatemia, and Phosphaturia in a Young Man: A Case Presentation and Differential Diagnosis
title_fullStr Osteopetrosis, Hypophosphatemia, and Phosphaturia in a Young Man: A Case Presentation and Differential Diagnosis
title_full_unstemmed Osteopetrosis, Hypophosphatemia, and Phosphaturia in a Young Man: A Case Presentation and Differential Diagnosis
title_short Osteopetrosis, Hypophosphatemia, and Phosphaturia in a Young Man: A Case Presentation and Differential Diagnosis
title_sort osteopetrosis hypophosphatemia and phosphaturia in a young man a case presentation and differential diagnosis
url http://dx.doi.org/10.1155/2012/238364
work_keys_str_mv AT zahimitri osteopetrosishypophosphatemiaandphosphaturiainayoungmanacasepresentationanddifferentialdiagnosis
AT vintangpricha osteopetrosishypophosphatemiaandphosphaturiainayoungmanacasepresentationanddifferentialdiagnosis