Document Detail


Nutritional rickets: report of four cases diagnosed at orthopaedic evaluation.
MedLine Citation:
PMID:  10746473     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nutritional rickets, the classic form of vitamin D-deficiency rickets, is rarely seen in the setting of modern medicine. We report four cases of nutritional rickets diagnosed at the time of orthopedic evaluation at our institutions during a 3-year period. All patients were referred by their pediatricians for evaluation of bowlegs. All children lived in a northern climate. Three were black and one was white. Prolonged breast-feeding and an unusual diet were identified as the underlying cause in our cases. Genu varum, seen in the setting of relative short stature and low weight, with a consistent social history, should raise the suspicion for nutritional rickets. The continued prevalence of this disease entity must be recognized in both the primary care and the orthopedic surgery setting. Vitamin D supplementation and enhanced sunlight exposure serve as effective prophylaxis and treatment of this disease.
Authors:
B P Kaper; M J Romness; P J Urbanek
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of orthopedics (Belle Mead, N.J.)     Volume:  29     ISSN:  1078-4519     ISO Abbreviation:  Am J. Orthop.     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-05-02     Completed Date:  2000-05-02     Revised Date:  2010-01-05    
Medline Journal Info:
Nlm Unique ID:  9502918     Medline TA:  Am J Orthop (Belle Mead NJ)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  214-8     Citation Subset:  IM    
Affiliation:
Prescott Bone and Joint Specialists, Arizona, USA.
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MeSH Terms
Descriptor/Qualifier:
Child, Preschool
Female
Humans
Infant
Male
Orthopedics
Rickets / diagnosis*,  radiography*

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