Abstract
For many years myopathy has been known to be part of the osteomalacic symptom complex 1–7. Generally, hypovitaminosis D myopathy (HDM) has been considered a symptom occasionally seen in patients suffering from osteomalacic bone disease, rather than an early presenting symptom of vitamin D deficiency. However, already in 1975 in a group of 30 patients with biopsy proven osteomalacia, Skaria et al 5 found that myopathy was the presenting symptom in 30%, but was clinically detectable in 96.7% of patients. Thus, myopathy is a prominent symptom in osteomalacia. Recently it was shown by Glerup et al 8 that HDM precedes bone involvement in osteomalacia caused by vitamin D deficiency.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Smith R, Stern G. Muscular weakness in osteomalacia and hyperparathyroidism. J. Neurol. Sci. 1969; 8:511–520.
Smith R, Stern G. Myopathy, osteomalacia and hyperparathyroidism. Brain 1967; 90:593–602.
Chalmers J, Conacher WDH, Gardner DL, Scott PJ. Osteomalacia — A common disease in elderly women. J.Bone Joint Surg 1967; 49B:403–423.
Mallette LE, Patten BM, Engel WK. Neuromuscular disease in secondary hyperparathyroidism. Ann.Intern.Med. 1975; 82:474–483.
Skaria J, Katiyar BC, Srivastava TP, Dube B. Myopathy and neuropathy associated with osteomalacia. Acta Neurol.Scand. 1975; 51:37–58.
Schott GD, Wills MR. Muscle weakness in osteomalacia. Lancet 1976; 1:626–629.
Young A, Edwards RHT, Jones DA, Brenton DP. Quadriceps muscle strength and fibre size during the treatment of osteomalacia. In: Stokes IAF, editor. Mechanical factors and the skeleton. 1981:137–145.
Glerup H, Mikkelsen K, Poulsen L, Hass E, Overbeck S, Andersen H, et al. Hypovitaminosis D myopathy without biochemical signs of osteomalacic bone involvement. Calcif.Tissue Int. 2000; 66 (6):419–424.
Glerup H, Eriksen EF. Osteomalacia and servere vitamin D deficiency — A review of the clinical and paraclinical findings and guidelines for the treatment with vitamin D. Ugeskr.Laeger 1999; 161:2515–2521.
Costa EM, Blau HM, Feldman D. 1,25-dihydroxyvitamin D3 receptors and hormonal responses in cloned human skeletal muscle cells. Endocrinology 1986; 119:2214–2220.
Bischoff HA, Borchers M, Gudat F, Duermueller U, Theiler R, Stahelin HB, et al. In situ detection of 1,25-dihydroxyvitamin D-3 receptor in human skeletal muscle tissue. Histochem J 2001; 33:19–24.
Boland R, Norman A, Ritz E, Hasselbach W. Presence of a 1,25-dihydroxy-vitamin D3 receptor in chick skeletal muscle myoblasts. Biochem.Biophys.Res.Commun. 1985; 128:305–311.
Simpson RU, Thomas GA, Arnold AJ. Identification of 1,25-dihydroxyvitamin D3 receptors and activities in muscle. J.Biol.Chem. 1985; 260:8882–8891.
Pointon JJ, Francis MJ, Smith R. Effect of vitamin D deficiency on sarcoplasmic reticulum function and troponin C concentration of rabbit skeletal muscle. Clin.Sci. 1979; 57:257–263.
de Boland AR, Albornoz LE, Boland R. The effect of cholecalciferol in vivo on proteins and lipids of skeletal muscle from rachitic chicks. Calcif.Tissue Int. 1983; 35:798–805.
de Boland AR, Boland RL. Effects of vitamin D3 on in vivo labelling of chick skeletal muscle proteins with [3H]leucine. Z.Naturforsch.C. 1984; 39:1015–1016.
Boland R. Role of vitamin D in skeletal muscle function. Endocr.Rev. 1986; 7:434–448.
de Boland AR, Boland RL. Rapid changes in skeletal muscle calcium uptake induced in vitro by 1,25-dihydroxyvitamin D3 are suppressed by calcium channel blockers. Endocrinology 1987; 120:1858–1864.
de Boland AR, Boland RL. Non-genomic signal transduction pathway of vitamin D in muscle. Cell Signal. 1994; 6:717–724.
Curry OB, Basten JF, Francis MJ, Smith R. Calcium uptake by sarcoplasmic reticulum of muscle from vitamin D-deficient rabbits. Nature 1974; 249:83–84.
Rodman JS, Baker T. Changes in the kinetics of muscle contraction in vitamin D- depleted rats. Kidney Int 1978; 13:189–193.
Toury R, Stelly N, Boisonneau E, Convert M, Dupuis Y. Relationship between vitamin D status and deposition of bound calcium in skeletal muscle of the rat. Biol.Cell 1990; 69:179–189.
Birge SJ, Haddad JG. 25-hydroxycholecalciferol stimulation of muscle metabolism. J.Clin.Invest. 1975; 56:1100–1107.
Grady D, Halloran B, Cummings S, Leveille S, Wells L, Black D, et al. 1,25-Dihydroxyvitamin D3 and muscle strength in the elderly: a randomized controlled trial. J.Clin.Endocrinol.Metab. 1991; 73:1111–1117.
Glerup H, Andersen H, Clausen T, Charles P, Eriksen EF. Vitamin-D regulates Ca-ATPase in striated muscle: Studies on osteomalacic myopathy. J.Bone Miner.Res. 1997; 12:46
Schwartz GG, Whitlatch LW, Chen TC, Lokeshwar BL, Holick MF. Human prostate cells synthesize 1,25-dihydroxy vitamin D3 from 25-hydroxyvitamin D3. Cancer Epidemiol.Biomarkers.Prev. 1998; 7:391–395.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer Science+Business Media New York
About this chapter
Cite this chapter
Glerup, H., Eriksen, E.F. (2002). Hypovitaminosis D Myopathy. In: Holick, M.F. (eds) Biologic Effects of Light 2001. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0937-0_18
Download citation
DOI: https://doi.org/10.1007/978-1-4615-0937-0_18
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-5313-3
Online ISBN: 978-1-4615-0937-0
eBook Packages: Springer Book Archive