Adult-onset hypophosphatemic osteomalacia as a cause of widespread musculoskeletal pain: A retrospective case series of single center experience

Table 1 Clinical features of patients with adult-onset hypophosphatemic osteomalacia

	Sex/age	Location of pain	Previous misdiagnosis before OM diagnosis	Weakness (MRC grade)	Gait	Gower sign	Height loss (cm)
1	F/52	Low back, left scapula and chest wall, bilateral mid-thigh	N/A	Hip flexor - 4	Bilateral compensated Trendelenburg gait	(-)	(-)
				Hip abductor - 3
2	M/62	Thoracic back, bilateral chest wall and knee	N/A	Negative	Normal	(-)	170 to 166
3	F/55	Thoracic and low back, bilateral flank, left shoulder	Osteoporotic compression fracture	Negative	Normal	(-)	159 to 153
4	F/76	Low back, right shoulder, left knee	Pathological scapular fracture	Negative	Normal	(-)	145 to 143
5	M/62	Low back, bilateral chest wall buttock, and flank, left heel	Polymyalgia rheumatica. Osteoporosis	NT	Bilateral compensated Trendelenburg gait	(+)	164 to 161
6	F/74	Neck, low back, bilateral shoulder, ASIS, knee, and ankle	Polymyalgia rheumatica. Somatization syndrome	U/E proximal - 4	Bilateral compensated Trendelenburg gait	(+)	150 to 144
				L/E proximal - 4
7	M/54	Low back, bilateral chest wall, right hip, thigh, and knee	Stress fracture of tibia. Osteoporotic compression fracture	L/E proximal - 4	Bilateral compensated Trendelenburg gait	(+)	171 to 165
8	M/61	Low back, bilateral thigh and calf	N/A	U/E proximal - 3	Bilateral compensated Trendelenburg gait	(+)	158 to 151
				L/E proximal - (hip abductor - 0, hip flexor, knee extensor, knee flexor - 4)
				L/E distal - 4

F: Female; M: Male; OM: Osteomalacia; MRC: Medical Research Council; N/A: Not applicable; NT: Not tested; ASIS: Anterior superior iliac spine; U/E: Upper extremity; L/E: Lower extremity.