BMJ Case Reports 2011; doi:10.1136/bcr.04.2011.4127
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Osteomalacia with severe thoracic and spondylous deformity complicated by osteoporosis

  1. Atsushi Suzuki3
  1. 1Department of Endocrinology and Diabetes, Nagoya Medical Center, Nagoya, Japan
  2. 2Department of Respiratory Medicine, Nagoya Medical Center, Nagoya, Japan
  3. 3Division of Endocrinology and Metabolism, Department of Internal Medicine, Fujita Health University, Toyoake, Japan
  1. Correspondence to Dr Tsutomu Yamada, yamadat{at}


A 60-year-old woman was admitted to our emergency department with respiratory distress. Her thorax had undergone gradual deformation over the past 3 years during which time she had refused to seek medical intervention. Her ADL (activities of daily living) had been full and she had worked as a dancing instructor before her thorax began to change shape. On admission, she was alert, but had severe dyspnoea with low arterial oxygen saturation. Chest x-ray, CT (figure 1 …

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