PMID- 27620624 OWN - NLM STAT- MEDLINE DCOM- 20180417 LR - 20181202 IS - 1433-2965 (Electronic) IS - 0937-941X (Linking) VI - 27 IP - 12 DP - 2016 Dec TI - Hypophosphatemic osteomalacia: a case simulating anklylosing spondylitis treated with anti-TNF therapy. PG - 3651-3654 AB - In this case, a young male patient diagnosed as hypophosphatemic osteomalacia and ankylosing spondylitis (AS) will be assessed by literature. A 32-year-old male patient who had been previously diagnosed as ankylosing spondylitis and hypophosphatemic osteomalacia was admitted to our clinic. In the beginning of the disease, he complained of pain on the first metatarsal bone and low back. Sacroiliac magnetic resonance (MR) images were interpreted as sacroiliitis. He was diagnosed as AS, and referred to many hospitals and received several therapies. He did not benefit from the treatment and his complaints worsened. The human leukocyte antigen (HLA) B-27 test was negative and alkaline phosphatase level was high. Old femur fractures were reported in the whole body bone scintigraphy. In addition, the patient was diagnosed with osteomalacia. While the patient was receiving vitamin D, oral phosphate, anti-tumor necrosis factor therapy was added. Patient's diagnosis was reevaluated. His final diagnosis was hypophosphatemic osteomalacia instead of ankylosing spondylitis. FAU - Sivas, F AU - Sivas F AD - Department of Physical Medicine and Rehabilitation, Ankara Numune Education and Research Hospital, Ankara, Turkey. filiz_sivas@yahoo.com. AD - , 380 Sok. 2/9 Cankaya,06610, Ankara, Turkey. filiz_sivas@yahoo.com. FAU - Yurdakul, F G AU - Yurdakul FG AD - Department of Physical Medicine and Rehabilitation, Ankara Numune Education and Research Hospital, Ankara, Turkey. FAU - Durak, M AU - Durak M AD - Department of Physical Medicine and Rehabilitation, Ankara Numune Education and Research Hospital, Ankara, Turkey. FAU - Hatipoglu, G AU - Hatipoglu G AD - Department of Radiology, Ankara Numune Education and Research Hospital, Ankara, Turkey. FAU - Onal, E D AU - Onal ED AD - Department of Endocrinology, Ankara Numune Education and Research Hospital, Ankara, Turkey. FAU - Bodur, H AU - Bodur H AD - Department of Physical Medicine and Rehabilitation, Ankara Numune Education and Research Hospital, Ankara, Turkey. LA - eng PT - Case Reports PT - Journal Article DEP - 20160912 PL - England TA - Osteoporos Int JT - Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA JID - 9100105 RN - 0 (Phosphates) RN - 0 (Tumor Necrosis Factor-alpha) RN - 1406-16-2 (Vitamin D) SB - IM MH - Adult MH - Humans MH - Hypophosphatemia/diagnosis/*drug therapy MH - Male MH - Osteomalacia/diagnosis/*drug therapy MH - Phosphates/administration & dosage MH - Spondylitis, Ankylosing MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors MH - Vitamin D/administration & dosage OTO - NOTNLM OT - Ankylosing spondylitis OT - Anti-TNF therapy OT - Osteomalacia EDAT- 2016/09/14 06:00 MHDA- 2018/04/18 06:00 CRDT- 2016/09/14 06:00 PHST- 2016/05/06 00:00 [received] PHST- 2016/08/24 00:00 [accepted] PHST- 2016/09/14 06:00 [pubmed] PHST- 2018/04/18 06:00 [medline] PHST- 2016/09/14 06:00 [entrez] AID - 10.1007/s00198-016-3758-5 [pii] AID - 10.1007/s00198-016-3758-5 [doi] PST - ppublish SO - Osteoporos Int. 2016 Dec;27(12):3651-3654. doi: 10.1007/s00198-016-3758-5. Epub 2016 Sep 12.