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Rickets in the Dairy State.

Brandt M Mylott1, Theresa Kump, Marilyn L Bolton

  • 1Children's Hospital of Wisconsin, USA.

WMJ : Official Publication of the State Medical Society of Wisconsin
|November 24, 2004
PubMed
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Nutritional vitamin D deficiency rickets is a significant public health issue in Wisconsin infants, particularly among breastfed infants. The Wisconsin Women, Infant and Children (WIC) program serves a majority of affected infants, highlighting its potential for intervention.

Area of Science:

  • Pediatrics
  • Public Health
  • Nutritional Science

Background:

  • Nutritional vitamin D deficiency rickets results from inadequate vitamin D intake or sun exposure.
  • While reported in breastfed infants, its public health significance in Wisconsin was previously unknown.

Purpose of the Study:

  • To identify cases of vitamin D deficiency rickets in Wisconsin infants.
  • To determine the prevalence of the Wisconsin Women, Infant and Children (WIC) program enrollment among these infants.

Main Methods:

  • Retrospective chart review of rickets cases at Children's Hospital of Wisconsin.
  • Cross-referencing identified cases with the Wisconsin WIC database.

Main Results:

  • Fifty-one cases of nutritional vitamin D deficiency rickets were identified.

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  • All affected infants were breastfed without vitamin supplementation; 73% were enrolled in the WIC program.
  • Common presentations included skeletal deformities, failure to thrive, and fractures.

    • Conclusions:

    • Nutritional vitamin D deficiency rickets represents a notable public health concern in Wisconsin.
    • The Wisconsin WIC program is a potential key site for implementing intervention strategies to prevent rickets.