_ 03

44




(waddling gait)

Hb 9.8 g/dl ( 11.5~15)MCV 66 fL ( 78~96)

Calcium 1.8 mmol/L ( 2.2 ~ 2.58)
Alkaline phosphatase 650 U/L ( 50~110)
ESR, CRP, thyroid function, CPK

Q1

Alkaline phosphatase
PTH vit D vit D PTH
hypoparathyroidism
(
) PTH vit
D PTH alkaline phosphatase
alkaline phosphatase PTH
Vit D
(bowing of leg)
vit D
PTH PTH

vit D

Q2

1.
2.
3. ESRCRPCPK


4. Bone-Alkaline Phosphatase (Ostase)

4 5

alkaline phosphatase PTH

Vit D 1,25-(OH)2-Vitamin D 3
25-OH Vitamin D 2 25-OH
Vitamin D D

D
1.
2.
3.
4.
5.

Q3 IgA
antiendomysial antibody IgA and IgG antigliadin antibody

IgA antiendomysial antibody IgA and IgG antigliadin antibody
Celiac disease ( ) Celiac disease vitD
vit D Osteomalacia
gliadin
/
vitD




vitD
vit D vit D