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Published on: January 29, 2018
Evaluation of children with nutritional rickets
Yasar Cesur1, Murat Doğan, Sevil Ariyuca
1Department of Pediatrics, School of Medicine, Yuzuncu Yil University, Van, Turkey.
Summary
Nutritional rickets affects children aged 0-23 months and 12-15 years, particularly in winter and spring. Supplementation with vitamin D is crucial for at-risk pediatric populations.
Area of Science:
- Pediatrics
- Nutritional Science
- Endocrinology
Background:
- Nutritional rickets is a significant pediatric health concern.
- Identifying risk factors and outcomes is crucial for effective management.
Purpose of the Study:
- To evaluate clinical findings, risk factors, therapy, and outcomes in pediatric nutritional rickets.
- To analyze a large cohort of 946 children diagnosed with nutritional rickets.
Main Methods:
- Retrospective review of medical records from March 2004 to 2009.
- Inclusion criteria: biochemical and clinical/radiological evidence of rickets.
- Study population: 946 children aged 4 months to 15 years.
Main Results:
- Peak incidence observed between December and May.
- Two age peaks for diagnosis: 0-23 months and 12.0-15 years.
- Infants/young children often hospitalized for infections; older children presented with short stature and obesity.
Conclusions:
- Children aged 0-23 months and 12-15 years are at highest risk for nutritional rickets.
- Seasonal risk is elevated during winter and spring.
- Vitamin D supplementation is recommended for at-risk children.
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