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OCR: eomalacia the 18.21). When In the majority of patients w ck of vitamin D, serum chemistry is abnorma there is malabsorption or die e lower limit of serum calcium is decreased o kedly decreased normal, serum phosphorus ism, and urine In patients with due to secondary hyperparath calcium excretion is also decr nic renal disease, rickets or osteomalacia due to n leads to impairment of glomerular fil calcium is low phosphate retention so that s 25- gut absorption of because of impaired formatio dihydroxyvitamin D and imp high. In patients calcium, but serum phosphor imarily to a with rickets or osteomalacia renal phosphate leak, serum the serum concentrations may be norm ased. phosphorus concentration is