Case Discussion Severe VDD
Problem list:
Symptom
- Generalized bone pain
- Muscle weakness (difficulty standing and walking)
- skeletal deformities
Sign
- kyphosis ,scoliosis, pectus carinatum
- Loss of teeth
- Nodule in right lobe of thyroid
- Anal ulcer
Lab data
- Low ca
- Low p
- High PTH
- High ALP
- Low vit D
- IDA
- Low B12
