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Vitamin D deficiency mimicking chronic tension-type headache in children
  1. Sanjay Prakash,
  2. Prayag Makwana,
  3. Chaturbhuj Rathore
  1. Department of Neurology, Smt BK Shah Medical Institute and Research Centre, Vadodara, Gujarat, India
  1. Correspondence to Sanjay Prakash, drprakashs{at}


Headache, musculoskeletal pain and vitamin D deficiency, with possible inter-relationship, are common in the general population. We report cases of three premenarchal girls presenting with chronic tension-type headache and generalised body pain. The patients did not show any response to conventional therapy for tension headache. Investigations showed a severe vitamin D deficiency and biochemical osteomalacia in all three patients. The headaches and musculoskeletal pain responded markedly to vitamin D therapy. We suggest that musculoskeletal pain and headache together in a patient may be part of a single symptom complex, with vitamin D deficiency being the possible cause.

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