TOPIC: RANDOM MIX
A 62-year-old woman with chronic kidney disease presents with bone pain and fractures. Laboratory findings show elevated PTH, elevated phosphate, low-normal calcium, and elevated alkaline phosphatase. Bone biopsy demonstrates increased osteoid with delayed mineralization. What is the most likely diagnosis?
A
Osteitis fibrosa cystica
B
Adynamic bone disease
C
Osteomalacia secondary to renal osteodystrophy
D
Paget disease