Blood and bone loser
B Schaefer, B Glodny, H Zoller - Gastroenterology, 2017 - gastrojournal.org
Question: A 45-year-old man with a 22-year history of Crohn's disease was admitted for
muscular weakness, and bilateral groin and shoulder pain. On examination the patient
presented with waddling walk, proximal muscular weakness, and a positive Gower's sign.
Laboratory tests showed anemia with a hemoglobin concentration of 8.2 g/dL. He presented
with mild hypocalcemia and severe hypophosphatemia (0.46 mmol/L; ref. range: 0.8–1.45
mmol/L) with increased urinary excretion of phosphate (fractional excretion of phosphate …
muscular weakness, and bilateral groin and shoulder pain. On examination the patient
presented with waddling walk, proximal muscular weakness, and a positive Gower's sign.
Laboratory tests showed anemia with a hemoglobin concentration of 8.2 g/dL. He presented
with mild hypocalcemia and severe hypophosphatemia (0.46 mmol/L; ref. range: 0.8–1.45
mmol/L) with increased urinary excretion of phosphate (fractional excretion of phosphate …
