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Related Experiment Videos

Case of tumour rickets

M W Moncrieff, D P Brenton, L J Arthur

    Archives of Disease in Childhood
    |September 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    A boy with bone tumors developed hypophosphataemic rickets, a condition linked to impaired phosphate reabsorption. This case highlights

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    Area of Science:

    • Pediatric Endocrinology
    • Oncology
    • Nephrology

    Background:

    • Hypophosphataemic rickets is a disorder characterized by impaired renal tubular reabsorption of phosphate, leading to bone abnormalities.
    • Tumor-induced osteomalacia (TIO) or rickets is a rare condition where neoplasms cause phosphate wasting.
    • This case involves a pediatric patient with extensive bone tumors.

    Observation:

    • A 10-year-old boy presented with widespread soft tissue tumors of bone.
    • He developed hypophosphataemic rickets, confirmed by biochemical tests excluding other causes.
    • Biopsy of the largest tumor revealed a non-ossifying fibroma.

    Findings:

    • The patient's condition is consistent with 'tumor rickets', a form of rickets caused by a tumor.
    • Unlike typical TIO cases, surgical tumor removal was not feasible due to the widespread nature of the tumors.

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  • Treatment required high doses of vitamin D and oral phosphate for rickets healing.
  • Implications:

    • This case supports the hypothesis that tumors can produce a phosphaturic hormone, leading to rickets.
    • The management of tumor rickets may require medical therapy when surgical intervention is not possible.
    • Further research into the mechanisms of phosphaturic hormone production by tumors is warranted.