ICHIHARA Atsuhiro    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Professor and Division head
Article types	Case report
Language	English
Peer review	Non peer reviewed
Title	Osteomalacia, severe thoracic deformities and respiratory failure in a young woman with anorexia nervosa.
Journal	Formal name：Internal medicine (Tokyo, Japan) Abbreviation：Intern Med ISSN code：(1349-7235)0918-2918(Linking)
Volume, Issue, Page	54(8),pp.929-934
Author and coauthor	Watanabe Daisuke, Hotta Mari, Ichihara Atsuhiro
Authorship	Last author
Publication date	2015/04
Summary	The recent trends in avoiding sunbathing and eating fewer fish products have resulted in a high prevalence of vitamin D deficiency in the general Japanese population. We herein report the case of a young woman with enduring anorexia nervosa (AN) who suffered from osteomalacia, thoracic deformities and respiratory failure. Her vitamin D deficiency had been overlooked for years. Although the serum 25-hyroxyvitamin D [25(OH)D] level is a marker of vitamin D stores, it is not routinely examined because the cost is not covered by the national health insurance program. However, measuring the serum 25(OH)D levels in AN patients with hypocalcemia is recommended to prevent osteomalacia and osteoporosis.
DOI	10.2169/internalmedicine.54.3673
PMID	25876575