Severe Hypophosphatemia and Renal Phosphate Wasting Presenting as Atraumatic Bilateral Hip Pain: Suspected Hypophosphatemic Osteomalacia
Adonai James Chery, Atta Ur Rehman Ilham · 2026
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Description
Adonai James Chery and Atta Ur Rehman Ilham present a 55-year-old man whose worsening pain in both hips and groins was first treated as ordinary mechanical trouble. He grew weaker around the hips and steadily lost mobility, yet plain X-rays showed nothing that matched how bad he felt. The puzzle pushed the team toward blood tests for bone disease.
Testing found phosphate in blood far below normal alongside a sharply raised bone enzyme, while calcium sat only slightly low. Further checks showed his kidneys were leaking phosphate, and a hormone that drives that leak, FGF23, ran above its reference range. The picture fits softening of bone from phosphate loss. The authors urge clinicians to test phosphate early when hip pain, weakness, and fading mobility arrive together without injury.
Catalog record
| CREATOR | Adonai James Chery, Atta Ur Rehman Ilham |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 26704 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |