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Nutritional rickets: beyond the chief complaint.

Laurie Hickey1, Catherine Cross, Michele Burns Ewald

  • 1Department of Medicine, Children's Hospital Boston, Boston, MA 02115, USA.

Pediatric Emergency Care
|February 17, 2006
PubMed
Summary
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Emergency physicians can diagnose conditions like nutritional rickets beyond the main complaint. Early detection on pediatric radiographs, especially in winter-born infants with specific risk factors, is key.

Area of Science:

  • Pediatrics
  • Radiology
  • Nutritional Science

Background:

  • Emergency departments are crucial for identifying conditions beyond initial patient complaints.
  • Pediatric radiography offers opportunities for incidental diagnoses.

Observation:

  • Nutritional rickets may be detected on plain films ordered for other pediatric conditions.
  • Risk factors for infant nutritional rickets include exclusive breastfeeding and late winter/early spring presentation.

Findings:

  • Pigmented skin on physical examination can be a sign of nutritional rickets.
  • Radiographic signs of rickets can be identified on standard pediatric X-rays.

Implications:

  • Enhances the role of emergency physicians in early diagnosis of nutritional deficiencies.

Related Experiment Videos

  • Highlights the importance of careful radiographic review in pediatric emergency care.
  • Suggests proactive screening in high-risk infants presenting during specific seasons.