A Case of Chronic Pancreatitis in whom Osteomalacia due to Malabsorption Syndrom after a Pancreaticoduodenectomy was Recognized and Treated.
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We experienced a case of chronic pancreatitis who developed osteomalacia due to malabsorption of Ca2+ and vitamin D3 eight years after a pancreaticoduodenectomy (PD). At the age of 46, a PD was performed because of high suspect of carcinoma of the head of the pancreas. The patient had repeated admissions for diabetes mellitus and malnu-tritional problems after the operation. This time the patient complained of decreased muscle power, arthralgia of the hip, knees and foot joints. An examination at the Depart-ment of Bone and Soft Tissue revealed osteomalasia. As serum vitamin D3 was low, we administered activated vitamin D3 (2 μg/day), hyperalimentation containing vitamins, and digestive enzyme preparations. His symptoms disappeared within two weeks. The above mentioned course suggests a shortage of vitamin D3 in this case.
- 一般社団法人 国立医療学会の論文
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