SYMPTOMATIC OSTEOMALACIA SECONDARY TO CLINICALLY OCCULT CAUSES

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Abstract
Two patients with disabling osteomalacia are presented because they emphasize that this state may arise from mechanisms that are obscure. Occult steatorrhea was found in the first patient, although complaints referable to the gastrointestinal tract were negligible. Evidence to support renal tubular acidosis is presented in the 2d case, although symptoms suggesting renal disease and signs of hypercalciuria were minimal. It is postulated that the tubular defect was improved two years later, having changed from an overt manifestation to a latent defect.
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