The presence of bilateral pseudofractures is generally considered a reliable radiologic diagnostic feature of osteomalacia. We report two women with long-standing bilaterally symmetrical femoral pseudofractures that did not demonstrate the histologic features of osteomalacia upon examination of non-decalcified sections of iliac crest bone. One patient treated empirically for osteomalacia developed evidence of early vitamin D intoxication. We conclude that there is no completely reliable non-invasive diagnostic test for osteomalacia.

Original languageEnglish
Pages (from-to)17-19
Number of pages3
JournalSkeletal Radiology
Issue number1
StatePublished - Mar 1982


  • Osteomalacia
  • Pseudofractures


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