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2398 Medicine

A 67-year-old woman develops symptoms of cough and sputum production after an upper respiratory tract infection. A CXR does not show any signs of pneumonia but the report mentions a “pseudo fracture” sign (Looser zones) seen in the left scapula compatible with osteomalacia. She has no pain in the scapula. Which of the following best differentiates rickets and osteomalacia?

Athe mineralization defect is less severe in osteomalacia
BOsteomalacia is only produced by vitamin D deficiency, unlike rickets
Cthe skeleton is at a different stage when affected
Dparathyroid hormone levels are only routinely elevated in rickets
Medicine
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