Myelofibrosis associated with severe vitamin D deficiency rickets

C Balkan1, B Ersoy, N Nese

  • 1Department of Paediatrics, Division of Haematology, School of Medicine, Ege University, Bornova, Izmir, Turkey. cbalkan@med.ege.edu.tr

Insights

Severe vitamin D deficiency rickets can cause myelofibrosis in infants. Prompt vitamin D therapy rapidly improved the condition, highlighting rickets as a cause of infant hematological disorders.

Area of Science:

  • Pediatric Hematology
  • Nutritional Pediatrics
  • Pediatric Endocrinology

Background:

  • Myelofibrosis is a rare childhood hematological disorder.
  • Nutritional rickets remains a significant health issue, particularly in developing nations.
  • Rickets is recognized as a systemic disorder impacting multiple organ systems.

Observation:

  • A 6-month-old infant presented with myelofibrosis.
  • The infant's condition was attributed to severe vitamin D deficiency rickets.
  • Clinical and laboratory findings of myelofibrosis were observed.

Findings:

  • Vitamin D therapy led to rapid improvement in myelofibrosis.
  • The case demonstrates a direct link between severe rickets and myelofibrosis.
  • Hematological abnormalities associated with rickets were reversed.

Implications:

  • Rickets should be considered in the differential diagnosis of infant myelofibrosis.
  • Early diagnosis and treatment of rickets can prevent severe hematological complications.
  • Public health initiatives addressing nutritional rickets are crucial for preventing systemic disorders in children.

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