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- W4230353207 abstract "Case Presentation: A 32-year-old woman presented with low backache, which was insidious in onset and gradually progressed to involve the bilateral hip, knee, lower limbs, and wrists, with 8-years duration. There was no history of polyuria, renal calculi, or fracture or any similar family history. Her developmental history was unremarkable. Examination revealed normal stature, sclera, and dentition. There were no bony deformities or evidence of active arthritis. The rest of the systemic examination was normal. The patient's biochemical evaluation was as follows: corrected serum calcium, 9.2 mg/dL (normal, 8.2 to 10.3 mg/dL); serum phosphorus, 4.0 mg/dL (normal, 2.5 to 4 mg/dL); serum alkaline phosphatase, 58 U/L (normal, 40 to 125 U/L); serum creatinine, 0.6 mg/dL (normal, 0.6 to 1.2 mg/dL); intact parathyroid hormone, 36 pg/mL (normal, 8.0 to 50 pg/mL); 25-hydroxyvitamin D, 27 ng/mL (normal, 30 to 70 ng/mL); and venous bicarbonate, 25 mmol/L (normal, 21 to 28 mmol/L). She also had a normal hemogram. X-rays of her lateral spine and pelvis are shown in Figures 1 and 2. Her Technetium 99 bone scan is shown in Figure 3. What is the diagnosis?" @default.
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- W4230353207 date "2015-08-01" @default.
- W4230353207 modified "2023-10-16" @default.
- W4230353207 title "Visual Vignette" @default.
- W4230353207 doi "https://doi.org/10.4158/ep15743.vv" @default.
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