Osteomalacia is insidious onset, with cramps and pain in the lumbar region and thighs, extending the arms and ribs. Pain does not radiate, accompanied by sensitivity is symmetric and bonesinvolved. Proximal muscles are weak, who presented a difficulty instair climbing and lifting the pelvic position. By etching the bonesbecome less rigid, physical signs including deformations andtriradiar pelvis and lordosis. The patient has a "roll" characteristic.It develops pathological fractures. Most often the symptom isaccused muscle fatigue and cramps caused by pressure ormechanical shock.
Syndrome "milkman" is a condition in which the patient showsbilateral and symmetrical multiple fractures. Common localizationsinclude the femoral neck, axillary side of the scapula, ribs andpubic ram. Skeletal deformities may occur in the corpus vertebraland basilar skull with intussusception, with fractures of the vertebrae and long bones.
Renal osteodystrophy is a complication of osteomalacia whichshows weakness, bone pain and skeletal deformities. Clinic varieswith age. adults may show evidence of osteomalacia, whilechildren show retardation of growth. The most common complication of renal osteodystrophy is insuficeinta or pathologicalfracture through the depositaries of amyloid or tumors.
The clinical picture of osteomalacia include:
diffuse bone pain-especially in the thighs
-muscle weakness, bone fractures from minor trauma
-spasms of hands or feet