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Pubertal Dönemde Aktif Rikets; D Vitamini Eksikliği, Yetersiz Kalsiyum Alımı ya da Her İkisi?

Year 2017, Volume: 11 Issue: 3, 209 - 211, 01.08.2017

Abstract

Nutrisyonel rikets ülkemiz için önemli bir halk sağlığı sorunu olmaya devam etmektedir. D vitamini destek programı ile önemli mesafeler alınmış olmasına karşın rikets bebeklik ve adölesan çağdaki çocukları etkilemeye devam etmektedir. Ayrıca nutrisyonel riketsin yalnızca D vitamini ile ilişkili olduğu düşünülmekte, bu durum maalesef hekimlerin bile özellikle adölesan dönemde yeterli kalsiyum alımının önemini göz ardı etmesine neden olmaktadır.12 yaşında immobil kız olgu rastlantısal saptanan hipokalsemi nedeni ile değerlendirildi ve rikets tanısı konuldu. Bu olgu ile vitamin D eksikliği ve kalsiyum yetersizliğinin nutrisyonel rikets etiyolojisinde rol oynayabileceği ve özellikle adölesanlarda D vitamini ile birlikte yeterli kalsiyum alımının önemi vurgulanmak istendi.

References

  • Pettifor JM. Nutritional rickets: Deficiency of vitamin D, calcium, or both? Am J Clin Nutr 2004;80:1725S-9S.
  • Oginni LM, Worsfold M, Oyelami OA, Sharp CA, Powell DE, Davie MW. Etiology of rickets in Nigerian children. J Pediatr 1996;128:692-4.
  • Blok BH, Grant CC, McNeil AR, Reid IR. Characteristics of children with florid vitamin D deficient rickets in the Auckland region in 1998. NZ Med J 2000;113:374-6.
  • Rowe PM. Why is rickets resurgent in the USA? Lancet 2001;357:1100.
  • Kooh SW, Fraser D, Reilly BJ, Hamilton JR, Gall D, Bell L. Rickets due to calcium deficiency. N Eng J Med 1977; 297:1264-6.
  • Okonofua F, Gill DS, Alabi ZO, Thomas M, Bell JL, Dandona P. Rickets in Nigerian children: A consequence of calcium malnutrition. Metabolism 1991;40:209-13.
  • Türkiye Çocuk Hast Derg/Turkish J Pediatr Dis / 2017; 3: 209-211

Inadequate Calcium Intake or Both? Pubertal Onset Active Rickets; Deficiency of Vitamin D

Year 2017, Volume: 11 Issue: 3, 209 - 211, 01.08.2017

Abstract

Nutritional rickets continues to be a major public health problem for our country. It still affects both infants and adolescents although significant progress has been made with the vitamin D supplementation program. Nutritional rickets is thought to be only associated with vitamin D so that even physicians neglect adequate calcium intake, especially during adolescence.A 12-year-old immobilized girl with incidentally detected hypocalcemia was evaluated and rickets was diagnosed. Our aim in presenting this case was to describe the role of calcium and vitamin D deficiency in the etiology of nutritional rickets and to emphasize the requirement of adequate vitamin D and calcium intake, especially in adolescents

References

  • Pettifor JM. Nutritional rickets: Deficiency of vitamin D, calcium, or both? Am J Clin Nutr 2004;80:1725S-9S.
  • Oginni LM, Worsfold M, Oyelami OA, Sharp CA, Powell DE, Davie MW. Etiology of rickets in Nigerian children. J Pediatr 1996;128:692-4.
  • Blok BH, Grant CC, McNeil AR, Reid IR. Characteristics of children with florid vitamin D deficient rickets in the Auckland region in 1998. NZ Med J 2000;113:374-6.
  • Rowe PM. Why is rickets resurgent in the USA? Lancet 2001;357:1100.
  • Kooh SW, Fraser D, Reilly BJ, Hamilton JR, Gall D, Bell L. Rickets due to calcium deficiency. N Eng J Med 1977; 297:1264-6.
  • Okonofua F, Gill DS, Alabi ZO, Thomas M, Bell JL, Dandona P. Rickets in Nigerian children: A consequence of calcium malnutrition. Metabolism 1991;40:209-13.
  • Türkiye Çocuk Hast Derg/Turkish J Pediatr Dis / 2017; 3: 209-211
There are 7 citations in total.

Details

Other ID JA52SR98VH
Journal Section Research Article
Authors

Melikşah Keskin This is me

Şenay Savaş Erdeve This is me

Zehra Aycan This is me

Publication Date August 1, 2017
Submission Date August 1, 2017
Published in Issue Year 2017 Volume: 11 Issue: 3

Cite

Vancouver Keskin M, Erdeve ŞS, Aycan Z. Inadequate Calcium Intake or Both? Pubertal Onset Active Rickets; Deficiency of Vitamin D. Türkiye Çocuk Hast Derg. 2017;11(3):209-11.


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