Vitamin D deficiency mimicking chronic tension-type headache in children

BMJ Case Rep. 2016 Feb 2;2016:bcr2015213833. doi: 10.1136/bcr-2015-213833.


Headache, musculoskeletal pain and vitamin D deficiency, with possible inter-relationship, are common in the general population. We report cases of three premenarchal girls presenting with chronic tension-type headache and generalised body pain. The patients did not show any response to conventional therapy for tension headache. Investigations showed a severe vitamin D deficiency and biochemical osteomalacia in all three patients. The headaches and musculoskeletal pain responded markedly to vitamin D therapy. We suggest that musculoskeletal pain and headache together in a patient may be part of a single symptom complex, with vitamin D deficiency being the possible cause.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Female
  • Humans
  • Myalgia / etiology
  • Tension-Type Headache / diagnosis*
  • Tension-Type Headache / etiology
  • Vitamin D / blood
  • Vitamin D Deficiency / complications
  • Vitamin D Deficiency / diagnosis*


  • Vitamin D