Incipient osteomalacia developed in a Pakistani patient living in the UK af
ter strict sunlight avoidance forming part of the management of the photose
nsitivity disorder, chronic actinic dermatitis. The patient's skin type and
diet, which included calcium-binding phytates in chappattis, had increased
his risk of the condition. Proximal muscle weakness and bony tenderness re
sulting from the disorder resolved on vitamin D replacement therapy.