The 499th case: Roux-en-Y gastric bypass, limb weakness, and ostealgia
10.3760/cma.j.cn112138-20220628-00483
- VernacularTitle:第499例——胃旁路术后、肢体无力、骨痛
- Author:
An SONG
1
;
Yi YANG
;
Yan JIANG
;
Mei LI
;
Weibo XIA
;
Xiaoping XING
;
Ou WANG
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院内分泌科 协和转化医学中心 国家卫生健康委员会内分泌重点实验室，北京 100730
- Keywords:
Vitamin D deficiency;
Osteomalacia;
Gastric bypass
- From:
Chinese Journal of Internal Medicine
2023;62(1):117-121
- CountryChina
- Language:Chinese
-
Abstract:
A 36-year-old woman was admitted to the Peking Union Medical College Hospital with a history of fractures for 2 years, limb weakness for 1 year, and ostealgia for 2 months. The patient's examination identified iron deficiency anemia, significantly decreased serum calcium and 25-hydroxyvitamin D3 levels, and increased alkaline phosphatase and parathyroid hormone levels. Imaging showed several typical signs of osteomalacia. Considering the history of Roux-en-Y gastric bypass surgery, the diagnosis was considered to be osteomalacia caused by a postoperative nutritional absorption disorder. The patient was supplemented with calcitriol, calcium, and vitamin D and gradually returned to normal physical activity. The bone metabolism indicators and bone density were significantly improved.
