Comair A, Bogino V, Cougoule J P, Bernadet R
CHS Lafond, La Rochelle.
Encephale. 1988 Jan-Feb;14(1):33-8.
This article sets two bedridden mental retarded clinical cases, under a long run anticonvulsive treatment, who suffered from an osteomalacia syndrome, concealed until spontaneous fractures occurred and cured by a calcifediol treatment. Through these two cases, we remind you that in a psychiatric hospital, and in particular among mental retarded patients, anticonvulsive therapy can easily coincide with feeding problems and lack of period of sunshine. The osteomalacia risk is no longer exceptional and is to be considered since its detection and treatment are simple and results are convincing.
本文介绍了两例长期接受抗惊厥治疗的卧床智障临床病例,他们患有骨软化症综合征,该综合征一直未被发现,直到发生自发性骨折,经骨化二醇治疗后痊愈。通过这两个病例,我们提醒大家,在精神病医院,尤其是在智障患者中,抗惊厥治疗很容易与喂养问题和缺乏日照时间同时出现。骨软化症的风险不再罕见,鉴于其检测和治疗简单且效果令人信服,应予以考虑。