Commentary

[摘要] This case of postgastric bypass osteomalacia, secondary hyperparathyroidism, and resulting pelvic fractures highlights important concepts in bone fragility, as well as the significance of the oft-ordered and poorly understood 25-OH vitamin D. Obesity is well-recognized to be protective against pelvic and hip fractures (1). Although gastric bypass increases the risk for potential bone loss, it is intriguing that this patient had pelvic fractures years after she regained most of her weight, suggesting mechanical unloading was unlikely …

[学科分类] 过敏症与临床免疫学