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25th July 2023
A 78-year-old housebound man complains of bilateral hip pain.
A 78-year-old housebound man complains of bilateral hip pain. He denies falling. Pelvic X-ray shows no evidence of a fracture. However, Looser’s zones are seen.
| Full Blood Count | 140 g/L (135-180 g/L) |
| White Cell Count | 5.3 x10⁹L (4.0-11.0 x10⁹L) |
| Platelets | 325 x10⁹L (150-400 x10⁹L) |
| CRP | 2 mg/L (<10 mg/L) |
| eGFR | >90 |
| Adjusted Calcium | 2.03 mmol/L (2.1-2.6 mmol/L) |
| ALP | 250 iU/L (30-130 iU/L) |
| Vitamin D | 10 nmol/L (>50 nmol/L) |
| PTH (parathyroid hormone) | 70 ng/L (10 -65 ng/L) |
Given the radiological and biochemical findings, what is the most likely diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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