would have suggested an absorption disorder. She had been receiving topical steroids for her atopic dermatitis. Her family and personal histories were unremarkable. However, after the examination it also indicated generalised bone tenderness with associated indirect pain, bilateral symmetric proximal muscle weakness and a waddling gait. What do you think is her condition? What vitamin defiency caused by it? And why?
G8: CASE ANALYSIS
A 34-year-old Japanese woman was referred to your department with a 2-year history of slowly progressive generalised bone pain, muscle weakness and gait disturbance. The qeneralised bone pain-especially in the lower back, pelvis and legs-was aggravated by loading. The patient had been following a restricted diet (exclusion of fish and dairy products), and had been avoiding ultraviolet exposure for 8 years, which was part of the management plan prescribed by her dermatologist for worsening atopic dermatitis. The patient had no reported digestive symptoms that would have suggested an absorption disorder. She had been receiving topical steroids for her atopic dermatitis. Her family and personal histories were unremarkable. However, after the examination it also indicated generalised bone tenderness with associated indirect pain, bilateral symmetric proximal muscle weakness and a waddling gait.
What do you think is her condition? What vitamin defiency caused by it? And why?
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