<prompt> A patient Shweta with raised serum alkaline phosphatase and raised parathormone level along with low calcium and low phosphate level is likely to havePrimary hyperparathyroidismPagets diseaseOsteoporosisVitamin D deficiency  <response>: Answer is D Vitamin D deficiency Serum Ca Serum phosphorus Alkaline phosphatase PTH Osteomalacia Rickets iNit. D Primary hyperparathyroidism bone disease , Bone disease in renal failure with secondary hyperparathyroidism N Lytic bone neoplasms N N N N Osteoporosis N N N Pagets disease N N N 