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低磷血症抗维生素D性软骨病是一种少见病,尤以成年发病罕见,易误诊。我院诊治一例,报告如下。患者男,53岁。1983年开始腰痛,下肢麻木无力。1986年症状加重,逐渐行走困难,胸背及四肢骨关节痛。1989年卧床不起,翻身困难。发病以来,身高缩短10余厘米。曾先后在多家医院诊治无效,无家族遗传病史。查体:神清,身高155cm,全身肌肉(除面部)均有萎缩,胸骨、肋骨、椎体及四肢关节压痛明显,活动受限,四肢腱反射活跃,余无异常。
Hypophosphatemic anti-vitamin D osteochondrosis is a rare disease, especially in adult rare, easily misdiagnosed. A case of hospital treatment, the report is as follows. Male patient, 53 years old. Back pain began in 1983, lower limb numbness weakness. In 1986 the symptoms increased, gradually walking difficulties, chest and back and limb bone and joint pain. Bedridden in 1989, turning difficult. Since the onset, height shortened more than 10 cm. Has worked in many hospitals diagnosis and treatment invalid, no family history of genetic disease. Examination: Shenqing, height 155cm, body muscles (except for the face) have shrunk, sternum, ribs, vertebral body and limb joints tenderness significantly limited mobility, limb tendon reflexes active, I no exception.