Chest Pain and Costochondritis Associated with Vitamin D Deficiency: A Report of Two Cases

Vitamin D is integral for bone health, and severe deficiency can cause rickets in children and osteomalacia in adults. Although osteomalacia can cause severe generalized bone pain, there are only a few case reports of chest pain associated with vitamin D deficiency. We describe 2 patients with chest...

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Main Authors: Robert C. Oh, Jeremy D. Johnson
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/375730
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author Robert C. Oh
Jeremy D. Johnson
author_facet Robert C. Oh
Jeremy D. Johnson
author_sort Robert C. Oh
collection DOAJ
description Vitamin D is integral for bone health, and severe deficiency can cause rickets in children and osteomalacia in adults. Although osteomalacia can cause severe generalized bone pain, there are only a few case reports of chest pain associated with vitamin D deficiency. We describe 2 patients with chest pain that were initially worked up for cardiac etiologies but were eventually diagnosed with costochondritis and vitamin D deficiency. Vitamin D deficiency is known to cause hypertrophic costochondral junctions in children (“rachitic rosaries”) and sternal pain with adults diagnosed with osteomalacia. We propose that vitamin D deficiency may be related to the chest pain associated with costochondritis. In patients diagnosed with costochondritis, physicians should consider testing and treating for vitamin D deficiency.
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spelling doaj-art-9578479cecc24a139f626ff5fa36e17d2025-02-03T01:29:09ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/375730375730Chest Pain and Costochondritis Associated with Vitamin D Deficiency: A Report of Two CasesRobert C. Oh0Jeremy D. Johnson1Department of Family Medicine, Tripler Army Medical Center, Honolulu, HI 96859, USADepartment of Family Medicine, Tripler Army Medical Center, Honolulu, HI 96859, USAVitamin D is integral for bone health, and severe deficiency can cause rickets in children and osteomalacia in adults. Although osteomalacia can cause severe generalized bone pain, there are only a few case reports of chest pain associated with vitamin D deficiency. We describe 2 patients with chest pain that were initially worked up for cardiac etiologies but were eventually diagnosed with costochondritis and vitamin D deficiency. Vitamin D deficiency is known to cause hypertrophic costochondral junctions in children (“rachitic rosaries”) and sternal pain with adults diagnosed with osteomalacia. We propose that vitamin D deficiency may be related to the chest pain associated with costochondritis. In patients diagnosed with costochondritis, physicians should consider testing and treating for vitamin D deficiency.http://dx.doi.org/10.1155/2012/375730
spellingShingle Robert C. Oh
Jeremy D. Johnson
Chest Pain and Costochondritis Associated with Vitamin D Deficiency: A Report of Two Cases
Case Reports in Medicine
title Chest Pain and Costochondritis Associated with Vitamin D Deficiency: A Report of Two Cases
title_full Chest Pain and Costochondritis Associated with Vitamin D Deficiency: A Report of Two Cases
title_fullStr Chest Pain and Costochondritis Associated with Vitamin D Deficiency: A Report of Two Cases
title_full_unstemmed Chest Pain and Costochondritis Associated with Vitamin D Deficiency: A Report of Two Cases
title_short Chest Pain and Costochondritis Associated with Vitamin D Deficiency: A Report of Two Cases
title_sort chest pain and costochondritis associated with vitamin d deficiency a report of two cases
url http://dx.doi.org/10.1155/2012/375730
work_keys_str_mv AT robertcoh chestpainandcostochondritisassociatedwithvitaminddeficiencyareportoftwocases
AT jeremydjohnson chestpainandcostochondritisassociatedwithvitaminddeficiencyareportoftwocases