A case of small intestine type steroid-naïve Crohn disease in which osteomalacia was diagnosed by fractures on the transcervical bone

Erika Ohkura, Masaru Nakano, Yukako Kato, Satoshi Tsunematsu, Hiroshi Serizawa, Noriaki Watanabe, Naoki Kumagai, Kanji Tsuchimoto, Tomoharu Yajima, Toshifumi Hibi

Research output: Contribution to journalArticle

Abstract

We present a 35-year-old Japanese man with Crohn disease. He underwent ¡leocolectomy for ileum perforation when he was 28 years old, Crohn ileitis was diagnosed and medical treatment was commenced. When he was 35 years old, he complained of severe pain of the right upper torso and the left leg with no apparent trigger. A full check-up revealed that he had multiple fractures including a transcervical fracture of the left femur, ribs on both sides, and fracture of the sacroiliac joint He had no history of prior use of steroids, and the fractures were thought to have been caused by vitamin D deficiency. This case suggests that clinicians should be aware of the possibility of osteomalacia caused by malabsorption of fat-soluble vitamin D when examining patients with ileocolic Crohn disease.

Original languageEnglish
Pages (from-to)2082-2087
Number of pages6
JournalJournal of Japanese Society of Gastroenterology
Volume109
Issue number12
Publication statusPublished - 2012 Dec 1

ASJC Scopus subject areas

  • Gastroenterology

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    Ohkura, E., Nakano, M., Kato, Y., Tsunematsu, S., Serizawa, H., Watanabe, N., Kumagai, N., Tsuchimoto, K., Yajima, T., & Hibi, T. (2012). A case of small intestine type steroid-naïve Crohn disease in which osteomalacia was diagnosed by fractures on the transcervical bone. Journal of Japanese Society of Gastroenterology, 109(12), 2082-2087.