Causes
- Privational
- Deficiency in Asian children
- Immigrant adults
- Elderly housebound
- Food faddists
- GI
- Partial gastrectomy
- Small bowel malabsorption syndrome
- Hepatobiliary problems
- Hereditary renal disease
- Hypophosphataemia
- Vitamin D dependency rickets
- Fanconi syndrome
- Distal renal tubular acidosis
- Acquired renal disease
- Miscellaneous
- Phosphate depletion
- Calcium depletion
- ?Magnesium depletion
- Primary hyperparathyroidism
- Diphosphonates
- ?Axial osteomalacia
Features
- Bone pain
- Proximal muscle weakness
- Raised alk phos
- Reduced calcium
Osteomalacia