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Nutritional vitamin D deficiency: a case report
1Research Family Medicine Residency, Research Medical Center 6650 Troost Ave, Kansas City, 64131 USA. rachel.stevens@hcamidwest.com
Insights
Nutritional vitamin D deficiency, also known as rickets, can cause failure to thrive in infants. Early diagnosis and vitamin D supplementation lead to adequate catch-up growth in affected children.
Area of Science:
- Pediatrics
- Nutritional Science
- Endocrinology
Background:
- Failure to thrive (FTT) is a common concern in pediatric care, characterized by inadequate weight gain.
- Nutritional deficiencies can significantly impact infant growth and development.
Observation:
- A 6-month-old African American male infant presented with failure to thrive, despite adequate breastfeeding intake.
- The infant exhibited growth below expected percentiles, meeting diagnostic criteria for failure to thrive.
Findings:
- Diagnostic workup confirmed nutritional vitamin D deficiency as the cause of the infant's failure to thrive.
- The condition was identified as rickets, characterized by impaired bone mineralization.
Implications:
- Early diagnosis and prompt supplementation of vitamin D are crucial for reversing the effects of rickets.
- Effective treatment resulted in adequate catch-up growth, underscoring the importance of addressing nutritional deficiencies in pediatric care.
Abstract:
We present a 6-month-old African American male child with a chief complaint of failure to appropriately gain weight despite adequate caloric intake via breastfeeding. While he has met developmental milestones he appears small for age and is diagnosed with failure to thrive after crossing two major growth curve percentiles. After appropriate diagnostic workup, a diagnosis of nutritional vitamin D deficiency (rickets) was reached and supplementation was initiated with ensuing adequate catch-up growth.
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