I. SNAPPER, M.D.; R. SEELY, M.D.; S. FALK, M.D.; I. FEDER, M.D., F.A.C.P.
Osteomalacia, the adult counterpart of rickets, is generally considered a rarity in the western world, since avitaminosis D, the commonest cause of the disease, is thought to occur only in regions where exposure to sunshine is scarce and dietary deficiency and malnutrition are common.
In this part of the world osteomalacia is practically limited to conditions where vitamin D is not absorbed from the intestine. Malabsorption of fat-soluble vitamin D occurs in the chronic fatty diarrhea which is present in the sprue syndrome, in chronic biliary obstruction, and in long-standing obstruction of the pancreatic ducts. In the sprue syndrome, the
SNAPPER I, SEELY R, FALK S, FEDER I. OSTEOMALACIA IN NEW YORK1. Ann Intern Med. ;41:893–909. doi: 10.7326/0003-4819-41-5-893
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Published: Ann Intern Med. 1954;41(5):893-909.
Endocrine and Metabolism, Metabolic Bone Disorders.
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