Severe Osteomalacia Related to Long-Term Intravenous Drug Abuse

Severe Osteomalacia Related to Long-Term Intravenous Drug Abuse

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Objective.We present the clinical, biochemical, and imaging findings of a woman Toddler Bottoms with vitamin D deficiency and severe osteomalacia related to intravenous heroin addiction.Results.

A 54-year-old woman with a medical history significant for long-standing heroin abuse presented with complaints of bone pain, muscle cramping, and a left hip ulcer.She had been bed bound for approximately 1 year secondary to pain of uncertain etiology, and her husband was bringing her both food and drugs.She Sunglasses was admitted to the hospital for debridement of a right ischial ulcer.

Further workup revealed osteomyelitis of the left hip and severe vitamin D deficiency.Radiologic evaluation demonstrated diffuse osteopenia with pseudofractures, as well as true fractures.Conclusion.

This is the first case reported in the English literature of advanced osteomalacia resulting from a debilitating narcotic dependency.Vitamin D deficiency should be considered in patients with poor nutrition and prolonged sunlight deprivation from any cause.