Affiliations: [a] Department of Physical Medicine and Rehabilitation, Karadeniz Technical University, Trabzon, Turkey | [b] Department of Nuclear Medicine, Trabzon, Karadeniz Technical University, Trabzon, Turkey | [c] Department of Pediatrics, Trabzon, Karadeniz Technical University, Trabzon, Turkey | [d] Department of Orthopaedics and Traumatology, Karadeniz Technical University, Trabzon, Turkey
Correspondence:
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Address for correspondence: İsmail Doǧan, MD, Karadeniz Technical University, Medical Faculty, Department of Nuclear Medicine, 61080 Trabzon, Turkey. Tel.: +90 462 377 54 26; Fax: +90 462 325 05 18; E-mail: drismaildogan@yahoo.com
Abstract: Reflex sympathetic dystrophy (RSD) is characterized by severe pain, swelling, autonomic dysfunction and usually affects extremities following trauma. In this case we report a 16-year-old female patient who had undergone several operations on the distal of the right lower extremity over a period of 1.5 years. During the follow-up she was determined to have adolescent osteomalacia (primary vitamin D deficiency) and RSD findings at the right lower extremity. We also examined reports in the literature concerning the probable initiator role of vitamin D deficiency among the mechanisms of RSD occurrence. This is the first report of primary vitamin D deficiency accompanied by RSD in an adolescent with multiple fractures.
