Praxis
Volume 97, Issue 14, 2008, Pages 787-792
Pain of the musculoskeletal system of unknown origin in immigrants [Unklare muskuloskelettale schmerzen bei immigrantinnen] (Article)
Zwisler Ch. ,
Steiner A. ,
Fehr St. ,
Stoll Th.*
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a
Abteilung Rheumatologie und Rehabilitation, Kantonsspital Schaffhausen, Switzerland
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b
Abteilung Innere Medizin, Kantonsspital Schaffhausen, Switzerland
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c
Abteilung Radiologie, Kantonsspital Schaffhausen, Switzerland
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d
Abteilung Rheumatologie und Rehabilitation, Kantonsspital Schaffhausen, Switzerland
Abstract
We present two patients with vitamin D3 deficiency caused by insufficient exposure of the skin to sunlight. The deficiency was due to the dark pigmentation of the skin in the first case and caused by constant wearing of veil and all-covering clothes as well as by insufficient exposure to sunlight in the second case. Both patients developed osteomalacia with musculoskeletal problems; they had typical laboratory test results (elevated alkaline phosphatase and serum calcium in the low normal range) and radiologically evident, non-dislocated fractures (insufficiency fractures). Treatment with vitamin D3 led in both cases to sustained relief of pain. © 2008 by Verlag Hans Huber, Hogrefe AG.
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Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-47949085813&partnerID=40&md5=e89c10dd7a1ee9a2cd98f547aa94033e
ISSN: 16618157
Original Language: German