Recurrent Metatarsal Fractures in Postmenopausal Woman With Low Serum Alkaline Phosphatase: A Rare Diagnosis Not to Miss

• Main Authors: Umair Iqbal MD (Author), Hafsa Anwar MBBS (Author), Ahmad Chaudhary MD (Author), Madiha Alvi MD (Author), Amy Freeth MD (Author)
• Format: Book
• Published: SAGE Publishing, 2017-07-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Hypophosphatasia (HPP) is a rare inborn error of metabolism due to a loss-of-function mutation in the gene for tissue nonspecific isoenzyme of alkaline phosphatase (ALP) that results in low levels of ALP. The clinical presentation of HPP is variable and in adults can easily be misdiagnosed as other...