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Rickets and tracheobronchomalacia
Harish Bangalore1, Suniti Bisht, Baba Inusa
1Evelina Children's Hospital, Paediatrics, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UK.
Abstract:
Rickets is increasingly encountered in practice, even in the Western world. One recent publication reports an overall incidence of 7.5 per 100 000 children. Respiratory infections are well known to be associated with rickets. We present a case of rickets with severe respiratory complications. Tracheobronchomalacia was detected on bronchoscopy. We believe that tracheobronchomalacia may be a hitherto unrecognised finding in rickets and may need to be investigated further.
Insights
Rickets, a bone-weakening disease, is increasingly common. This case highlights severe respiratory issues in rickets, suggesting tracheobronchomalacia may be an under-recognized complication requiring further study.
Area of Science:
- Pediatrics
- Pulmonology
- Endocrinology
Background:
- Rickets incidence is rising globally, even in developed nations.
- Respiratory infections are a known comorbidity of rickets.
- Severe respiratory complications in rickets warrant investigation.
Purpose of the Study:
- To report a case of rickets with significant respiratory compromise.
- To identify potential underlying causes for respiratory distress in rickets.
- To explore tracheobronchomalacia as a possible association with rickets.
Main Methods:
- Case report presentation.
- Clinical assessment of a child with rickets and respiratory symptoms.
- Diagnostic bronchoscopy to evaluate airway abnormalities.
Main Results:
- The patient presented with severe respiratory complications secondary to rickets.
- Bronchoscopy revealed tracheobronchomalacia, a condition affecting the windpipe.
- This finding suggests a potential link between rickets and airway instability.
Conclusions:
- Tracheobronchomalacia may be an unrecognized complication of rickets.
- Further research is needed to confirm and understand this association.
- Early recognition and investigation of airway issues in rickets are crucial.
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