[Chest pain in a 37-year-old Sikh].

Chest pain can be the only sign of osteomalacia. The case of a 37 years old patient from India, member of the religious group of the sikh, with vitamin D deficiency is presented. The disease developed as a consequence of reduced sun exposure (covering a substantial part of the body for ethnic reasons). The pathogenesis, clinical picture and implications for daily practice are discussed.