Type 2 renal tubular acidosis presenting with joint pain: A case report and literature review
- Authors:
- Ayşe Nuransoy Cengi̇z
- Servet Yolbaş
- İdris Şahi̇n
- Bahri Evren
- Zeynep Özdemi̇r
View Affiliations
Affiliations: Department of Internal Medicine, Inonu University Faculty of Medicine Turgut Ozal Medical Center, Battalgazi, Malatya 44280, Turkey, Department of Rheumatology, Inonu University Faculty of Medicine Turgut Ozal Medical Center, Battalgazi, Malatya 44280, Turkey, Department of Nephrology, Inonu University Faculty of Medicine Turgut Ozal Medical Center, Battalgazi, Malatya 44280, Turkey, Department of Endocrinology, Inonu University Faculty of Medicine Turgut Ozal Medical Center, Battalgazi, Malatya 44280, Turkey, Department of Radiology, Inonu University Faculty of Medicine Turgut Ozal Medical Center, Battalgazi, Malatya 44280, Turkey
- Published online on: March 22, 2022 https://doi.org/10.3892/mi.2022.36
-
Article Number:
11
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Copyright: © Nuransoy Cengi̇z
et al. This is an open access article distributed under the
terms of Creative
Commons Attribution License.
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Abstract
Fanconi syndrome (FS) can present with hypophosphatemia, renal glycosuria, hypouricemia and aminoaciduria. Phosphate depletion is the most critical clinical aspect of FS as it leads to osteomalacia. Some patients present with symptoms and signs related to hypophosphatemic osteomalacia (HO). Thus, these patients present with these symptoms and are misdiagnosed. From an investigation of the published literature, HO symptoms are found to be non‑specific and were thus misdiagnosed in various centers. The present study describes the case of a a 46‑year‑old male with FS who suffered from joint pain and was first misdiagnosed. After he was referred to the authors' hospital, his case was evaluated and following a consideration of the results of this evaluation, he was diagnosed with idiopathic FS with multiple osteoporotic fractures. Furthermore, the present study performs a brief literature review other cases of patients that were misdiagnosed and whose symptoms were later found to be due to HO are also discussed. It is hoped that the present study may increase the awareness of HO among physicians and may help to draw attention to such cases of patients presenting with non‑specific symptoms.
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