Rickets, a reemerging disease in developed countries

C. Muro, E. Zubero
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Abstract

Rickets is a skeletal disease of the growing child owing to defective mineralization of the bone tissue. It is a rare entity in developed countries, however, increases due to immigration. Most cases are due to vitamin D deficiency and they may be diagnosed by an exhaustive anamnesis, typical biochemical changes and radiological signs. Its suspicion and early diagnosis are essential for an early start of treatment. We report a case of rickets in a young child with vitamin D deficiency, to remark the importance of this problem, which is currently reemerging in our environment. The child presented legs deformity and growth retardation. All the examinations performed, including blood tests, radiological studies and clinical history oriented to rickets. Adequate treatment with vitamin D and calcium was initiated just after the diagnosis and the child improved remarkably, both growth and skeletal deformities.
佝偻病,一种在发达国家重新出现的疾病
佝偻病是成长中的儿童由于骨组织矿化缺陷引起的骨骼疾病。这在发达国家是罕见的,但由于移民而增加。大多数病例是由于维生素D缺乏,可以通过详尽的记忆、典型的生化变化和放射学征象来诊断。它的怀疑和早期诊断对于早期开始治疗至关重要。我们报告一例佝偻病在一个年幼的儿童与维生素D缺乏症,以说明这个问题的重要性,这是目前在我们的环境中重新出现。患儿表现为腿部畸形和发育迟缓。进行的所有检查,包括血液检查、放射学研究和与佝偻病有关的临床病史。在诊断后不久就开始了适当的维生素D和钙治疗,孩子的生长和骨骼畸形都得到了显著改善。
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