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[Rickets in Asian immigrants during puberty]
M Bonet Alcaina1, N López Segura, R Besora Anglerill
1Servicio de Pediatría, Hospital del Mar, Barcelona, España.
Anales Espanoles De Pediatria
|August 30, 2002
Summary
Rickets, a bone disease, is reappearing in developed countries due to vitamin D deficiency in immigrant populations. Early diagnosis and treatment with vitamin D are crucial for recovery.
Area of Science:
- Pediatrics
- Endocrinology
- Nutritional Science
Background:
- Rickets is a prevalent pediatric disease in developing nations, often linked to rapid growth periods.
- While historically reduced in developed countries, vitamin D deficiency and rickets are increasingly noted in immigrant communities.
Observation:
- Three teenagers of Pakistani origin presented with symptoms including limb pain, muscle weakness, knock-knees, and seizures.
- Clinical presentation was associated with hypocalcemia, elevated parathormone and alkaline phosphatase, and low 25-hydroxy vitamin D levels.
Findings:
- Biochemical markers normalized after vitamin D supplementation and dietary guidance.
- Symptoms significantly improved in all three patients following treatment.
Implications:
- This case series highlights the resurgence of rickets in developed countries, particularly among immigrant populations.
- Increased immigration necessitates heightened awareness and proactive screening for vitamin D deficiency and rickets in at-risk groups.
- Early detection and intervention are vital for managing rickets and preventing long-term skeletal complications.