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OSTEOMALACIA
It is an inadequate Or delayed mineralization
of ostoid in mature cortical and spongy bone
characterized by faulty mineralization,
softening and weakening of the skeleton, and
softening and weakening of the skeleton, and
bowing of the bones.
Sakhawat Baloch (N.I SON Male
Jacobabad)
CAUSES
Decreased availability of vitamin D
Insufficient sun light exposure
Malabsorption
Malabsorption
Chronic Renal failure
Malnutrition
Deficiency of calcium
Sakhawat Baloch (N.I SON Male
Jacobabad)
PATHOPHYSIOLOGY
The primary defect in osteomalacia is a
deficiency of activated vitamin D (calcitriol),
which promotes calcium absorption from the
gastrointestinal tract and facilitates
mineralization of bone.
mineralization of bone.
Without adequate vitamin D, calcium and
phosphate are not moved to calcification sites
in bones.
Sakhawat Baloch (N.I SON Male
Jacobabad)
SIGNS AND SYMPTOMS
Muscle weakness
Bone pain and tenderness
Weak bone
Soft bones
Soft bones
Low serum calcium
Increased level of alkaline phosphate
Low level vitamin D in blood
Sakhawat Baloch (N.I SON Male
Jacobabad)
Rx/MANAGEMENT
Ergocalciferol (D2) 50,000 I.U orally twice a
week for 6-12 months
In case of steatorrhea Calcifediol {25(OH)D}
50-100µg daily
50-100µg daily
All patient should receive supplemental oral
calcium salt e.g. calcium citrate 0.4-0.6grams
or calcium carbonate 1-1.5grams) per day
Sakhawat Baloch (N.I SON Male
Jacobabad)
Rx/MANAGEMENT
The underlying cause of osteomalacia is
corrected if possible. If osteomalacia is caused
by malabsorption
If osteomalacia is dietary in origin, a diet with
If osteomalacia is dietary in origin, a diet with
adequate protein and increased calcium and
vitamin D is provided.
The safe use of supplements is reviewed
because high doses of vitamin D are toxic and
enhance the risk of hypercalcemia
Sakhawat Baloch (N.I SON Male
Jacobabad)

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OSTEO-MALACIA.pdf

  • 1. OSTEOMALACIA It is an inadequate Or delayed mineralization of ostoid in mature cortical and spongy bone characterized by faulty mineralization, softening and weakening of the skeleton, and softening and weakening of the skeleton, and bowing of the bones. Sakhawat Baloch (N.I SON Male Jacobabad)
  • 2. CAUSES Decreased availability of vitamin D Insufficient sun light exposure Malabsorption Malabsorption Chronic Renal failure Malnutrition Deficiency of calcium Sakhawat Baloch (N.I SON Male Jacobabad)
  • 3. PATHOPHYSIOLOGY The primary defect in osteomalacia is a deficiency of activated vitamin D (calcitriol), which promotes calcium absorption from the gastrointestinal tract and facilitates mineralization of bone. mineralization of bone. Without adequate vitamin D, calcium and phosphate are not moved to calcification sites in bones. Sakhawat Baloch (N.I SON Male Jacobabad)
  • 4. SIGNS AND SYMPTOMS Muscle weakness Bone pain and tenderness Weak bone Soft bones Soft bones Low serum calcium Increased level of alkaline phosphate Low level vitamin D in blood Sakhawat Baloch (N.I SON Male Jacobabad)
  • 5. Rx/MANAGEMENT Ergocalciferol (D2) 50,000 I.U orally twice a week for 6-12 months In case of steatorrhea Calcifediol {25(OH)D} 50-100µg daily 50-100µg daily All patient should receive supplemental oral calcium salt e.g. calcium citrate 0.4-0.6grams or calcium carbonate 1-1.5grams) per day Sakhawat Baloch (N.I SON Male Jacobabad)
  • 6. Rx/MANAGEMENT The underlying cause of osteomalacia is corrected if possible. If osteomalacia is caused by malabsorption If osteomalacia is dietary in origin, a diet with If osteomalacia is dietary in origin, a diet with adequate protein and increased calcium and vitamin D is provided. The safe use of supplements is reviewed because high doses of vitamin D are toxic and enhance the risk of hypercalcemia Sakhawat Baloch (N.I SON Male Jacobabad)