Hypophosphatemia & oncogenic osteomalacia

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My condition, hypophosphatemia and oncogenic osteomalcia started about 3 years ago, however, was not diagnosed until six months ago. It started very gradually with body stiffness that over time worsened to bone and muscle pain and weakness. Was examined by all kinds of specialists who really didn't know why I had so much pain just walking, sitting and getting in and out of bed. My Rhematologist had been very puzzeled by some of my blood test results concerning alkaline phosphates being 3 times as high as they should be. Vitamin D testing showed I was severely deficient. Subsequent examination, blood tests and bone biopsy by an Endocrinologist indicated oncogenic osteomalacia and hypophosphatemia being caused by a tumour somewhere in my body. The tumour gives off something that causes my Vitamin D and phosphates to become deficient in turn causing the bone pain and muscle weakness. Subsequent CT scans and PET scan have not located the tumour. Am taking medications that are helping somewhat. Want to communicate with someone who has this condition or recovered from it. Have questions about medications, rehabilitation and generally knowing about their experience.

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  • Posted

    Has anyone noticed that wonce they got the right dose of Calcitriol the pain got alot better and stiffness was also better. My doctor just a few days ago increased my Calcitriol from .5mg wonce aday to twice aday and I am feeling much better. I really hope that this continues and its not just a fluke.
    • Posted

      Just an update. I just had a Octreotide Scan done and it took them 50 minutes both times. Really hope the find something because pain is getting alot worse.
  • Posted

    Hi, Please have your doc take an FGF-23 blood test which will confirm a tumor is in your body. It doesn't say where. I dealt with this condition for 6 1/2 years and finally had the test done. I researched a DR. by the name of Dr. Peter Tebben at the Mayo Clinic in Rochester, Mn. I sent him all theMRI'ss, scans etc and fortunately he found the tumor. It was tucked in under my left kneecap. Had a biopsy to confirm it was a Phosphaturic Mesenchymal Tumor and had it surgicaly removed at the Mayo Clinic by Dr. Rock. I am now mending and getting better and completely off pain meds for the first time in almost 7 years. There is hope and I hope this helps you.

    Dr. Tebben is amazing.

    Don

    • Posted

      How long has it been since he took the tumor out? That is amazing news wonder if I could get him to look at my scans.
    • Posted

      Wow man. Thnx!!!!! This is weird I met a couple who have a friend with the same condition, and the tumor was also behind the knee.
    • Posted

      Sorry I ask, but have any of you before having this, work with pesticides? I aways thought that the pesticides wad the cause of this.
    • Posted

      I have never knowingly worked with any pesticides but that doesn't mean that it hasn't been in our foods. From my research this disease was first recognized in 1947. And according to my doctors there have only been about 300 diagnosed cases since then around the world or at least documented. I think those numbers are low now since being on this site but I think it is still very underdiagnosed

    • Posted

      unbelievable!!! I really want to thank you guys for all the info.
    • Posted

      Hi Jeff,

      l have never used pesticides so I think you can rule that one out.

  • Posted

    It was removed March 24th, 2017. He is in the Endocrinology section at the Mayo Clinic. I hope this helps you.
  • Posted

    I haven't been diagnosed yet but doctors think is oncogenic osteomalacia. I have a lot of bone pain and the pain medications that I'm taking don't do anything. im also taking kphos and calcitriol for my bones. Is that the right medocation for treatment?

    • Posted

      Yes Jeff if it infact TIO that is about all we have right now.
    • Posted

      Yes Jeff if it is infact TIO that's about all we have to treat it right now... There are a few things in experimental stages but nothing Rock solid.

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