“…The latter two disorders are also included in the definition of so-called type 2 osteomalacia (47), in which osteoid maturation time, given by osteoid thickness divided by unadjusted apposition rate (19), and referred to by these workers as direct mineralization lag time, is normal. Although generalized osteomalacia is the most characteristic form of bone disease found in patients with aluminum at the bone interface (18,47,49), focal osteomalacia (56)(57)(58), atypical osteomalacia (33,47,55), hyperparathyroid bone disease without osteomalacia (57,59,60), defective osteoblast function without osteomalacia or low turnover osteopenia (54,55,58) and combinations of these disorders (6,46) can also be found.…”