Pathologic Femoral Neck Fracture Due to Fanconi Syndrome Induced by Adefovir Dipivoxil Therapy for Hepatitis B
Clinics in Orthopedic Surgery
;
: 232-236, 2016.
Article
in English
| WPRIM
| ID: wpr-138559
ABSTRACT
In Fanconi syndrome, hypophosphatemic osteomalacia is caused by proximal renal tubule dysfunction which leads to impaired reabsorption of amino acids, glucose, urate, and phosphate. We present a rare case of a 43-year-old Korean male who was found to have insufficiency stress fracture of the femoral neck secondary to osteomalacia due to Fanconi syndrome. He had been receiving low-dose adefovir dipivoxil (ADV, 10 mg/day) for the treatment of chronic hepatitis B virus infection for 7 years and he subsequently developed severe hypophosphatemia and proximal renal tubule dysfunction. The incomplete femoral neck fracture was fixed with multiple cannulated screws to prevent further displacement of the initial fracture. After cessation of ADV and correction of hypophosphatemia with oral phosphorus supplementation, the patient's clinical symptoms, such as bone pain, muscle weakness, and laboratory findings improved.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteomalacia
/
Phosphorus
/
Uric Acid
/
Fractures, Stress
/
Hypophosphatemia
/
Hepatitis B, Chronic
/
Fanconi Syndrome
/
Femoral Neck Fractures
/
Femur Neck
/
Myalgia
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Clinics in Orthopedic Surgery
Year:
2016
Type:
Article
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