{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:54:22Z","timestamp":1760864062735,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,6,24]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>A 56-year-old man was referred with left-sided hip pain. MRI scans demonstrated an undisplaced stress fracture in the femoral neck and subchondral oedema within the femoral head. Bone densitometry showed T-scores of \u22122.0 at the spine, \u22123.5 at the femoral neck and \u22122.4 for the total hip. Laboratory tests revealed 25-hydroxyvitamin D &lt;10\u2009nmol\/L. He was prescribed a 10-day course of calciferol 1.25\u2009mg (50 000 IU)\/day and started on calcium carbonate 1.25\u2009g twice daily. Following the correction of vitamin D deficiency, his symptoms resolved. A striking feature of this patient was the complete reversal of \u2018osteoporosis\u2019 within 14 months with vitamin D and calcium supplementation. Bone mineral densities (BMDs) increased by 19.5% and 33.4% at the spine and hip, respectively. Such changes are never seen with conventional pharmacological management of osteoporosis. Vitamin D deficiency should be considered as a cause for reduced BMD in people with risk factors.<\/jats:p>","DOI":"10.1136\/bcr-2019-229657","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T06:09:13Z","timestamp":1562652553000},"page":"e229657","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Osteomalacia in subtropical Auckland"],"prefix":"10.1136","volume":"12","author":[{"given":"Ravi K","family":"Narang","sequence":"first","affiliation":[{"name":"Bone and Joint Research Group, Department of Medicine, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Reid","sequence":"additional","affiliation":[{"name":"Bone and Joint Research Group, Department of Medicine, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,7,8]]},"reference":[{"key":"2025082707484928000_12.7.e229657.1","first-page":"S587","article-title":"Widespread Vitamin D Deficiency among Indian Health Professionals","volume":"22","author":"Beloyartseva","year":"2011","journal-title":"Osteoporosis Int"},{"key":"2025082707484928000_12.7.e229657.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200304103481521"},{"key":"2025082707484928000_12.7.e229657.3","doi-asserted-by":"publisher","DOI":"10.1385\/JCD:3:1:097"},{"key":"2025082707484928000_12.7.e229657.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocd.2005.11.001"},{"key":"2025082707484928000_12.7.e229657.5","doi-asserted-by":"publisher","DOI":"10.1007\/BF02439554"},{"key":"2025082707484928000_12.7.e229657.6","first-page":"355","article-title":"Bone mineral density and bone scintigraphy in adult Saudi female patients with osteomalacia","volume":"25","author":"El-Desouki","year":"2004","journal-title":"Saudi Med J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229657","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:49:00Z","timestamp":1756306140000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":6,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2019,7,8]]},"published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1136\/bcr-2019-229657"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229657","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}