Iatrogenic osteomalacia (case report). Seek advice from your nephrologist for bone and electrolyte disorders

A 67-year-old female patient had been suffering for a year from such a severe pain syndrome that she could no longer walk.Although she had presented herself to several doctors from different disciplines, the cause of her illness was not identified.It was osteomalacia caused by a drug.This was not recognized, although the disease is common.The aim of this article is to raise awareness of a common bone disease.In contrast to osteoporosis, this disease is very accessible to therapy.The differential diagnosis to osteoporosis and the different causes of osteomalacia, hypophosphatemia and Fanconi syndrome are explained in detail.With the correct diagnosis and consequent treatment, the patient could be helped in such a way that she could even walk again without a walking aid.Overlooking phosphaturia can cause severe skeletal consequences.