A Case of Rickets Developed after Feeding on Sunsik for Seven Months.
- Author:
Jeong A YANG
1
;
Kyung A JANG
;
Hye Won PARK
;
Wook JANG
;
Man Yong HAN
;
Young A CHO
;
Eun LEE
Author Information
1. Department of Pediatrics, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea. drmesh@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Rickets;
Vitamin D;
Weaning;
Nutrition;
Infant
- MeSH:
Alkaline Phosphatase;
Bone Diseases, Metabolic;
Calcium;
Edible Grain;
Child;
Diarrhea;
Diet;
Fruit;
Humans;
Hydroxycholecalciferols;
Hypersensitivity;
Incidence;
Infant;
Korea;
Male;
Milk;
Nutrition Disorders;
Nutritional Support;
Parathyroid Hormone;
Radius;
Rickets*;
Ulna;
Vitamin D;
Vomiting;
Weaning
- From:Journal of the Korean Pediatric Society
2003;46(11):1143-1146
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Rickets is a nutritional disorder which is caused either by deficiency of vitamin D or by a defective activation of vitamin D. In these days, even though the incidence of rickets has decreased through adequate nutritional support, we sometimes experience rickets in babies receiving a prolonged special diet as therapy for chronic diarrhea, or those subject to a in receiving the prolonged elimination of milk because of allergy. But there are no reports about rickets caused by absolute elimination of milk because of allergies in Korea. We report here a case of rickets developed after feeding on Sunsik(a mixture of several grain and fruits powder) during a seven months period in an 8-month-old male patient. This male infant manifested vomiting, poor feeding, decreased serum calcium and 25- hydroxycholecalciferol levels, and markedly increased serum alkaline phosphatase and parathyroid hormone levels. Skeletal X-rays showed cupping and fraying in distal metaphyses of radius and ulna, and generalized osteopenia. The patient improved with vitamin D and calcium therapy.
