我院收治低血磷抗维生素D骨软化长期误诊为类风湿性关节炎1例,经用复方磷制剂及较大剂量维生素D治疗半年,疗效显著,现报道如下。 女患者,37岁,住院号231437,因全身骨痛4年,加重伴活动困难2月于1987年12月22日入院。患者入院前4年无诱因感腰痛,下蹲及弯腰时加重,并波及胸、膝、踝、肘、腕、指、趾等骨关节,伴关节逐渐畸形。骨痛与天气变化无关。外院诊断为类风湿性关节炎,长期服昆明山海棠片及强的松等无效。入院 Long-term misdiagnosis of osteoporosis of hypophosphatemic anti-vitamin D in our hospital misdiagnosed as rheumatoid arthritis in 1 case, the use of compound phosphorus and large doses of vitamin D for six months, the curative effect is significant, are reported below. Female patient, 37 years old, hospital number 231437, 4 years due to systemic bone pain, aggravated with activity difficulties February was admitted on December 22, 1987. 4 years before admission, the patient had no incentive to feel back pain, squat and bend when the increase, and spread to the chest, knee, ankle, elbow, wrist, fingers, toes and other bone and joint, joint deformity gradually. Bone pain has nothing to do with the weather changes. Outside the hospital diagnosed as rheumatoid arthritis, long-term service Kunming Begonia tablets and prednisone ineffective. Admission