Vitamin D deficiency physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

Patients with vitamin D deficiency usually appear normal. Physical examination of patients with severe prolonged vitamin D deficiency is usually remarkable for bowing of the legs in children and periosteal bone tenderness. [1][2]

Physical examination

General Appearance

Back

  • Lower back tenderness

Extremities

  • Periosteal bone tenderness
  • Bowing of the legs [3]
  • Positive Chvostek's sign
  • Skeletal deformity

Neuromuscular

References

  1. Holick MF (2006). "High prevalence of vitamin D inadequacy and implications for health". Mayo Clin. Proc. 81 (3): 353–73. doi:10.4065/81.3.353. PMID 16529140.
  2. Holick MF, Chen TC (2008). "Vitamin D deficiency: a worldwide problem with health consequences". Am. J. Clin. Nutr. 87 (4): 1080S–6S. PMID 18400738.
  3. 3.0 3.1 Holick, M. F. (2006). "Resurrection of vitamin D deficiency and rickets". Journal of Clinical Investigation. 116 (8): 2062–2072. doi:10.1172/JCI29449. ISSN 0021-9738.


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