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It is not always child abuse: multiple fractures due to hypophosphatemic rickets associated with elemental formula

Kamal Abulebda1, Samer Abu-Sultaneh1, Riad Lutfi1

  • 1Department of Pediatrics Section of Pediatric Critical Care Medicine at Indiana University School of Medicine Riley Hospital for Children at Indiana University Health Indianapolis Indiana.

Clinical Case Reports
|August 8, 2017
PubMed

Insights

Rickets remains a concern, as seen in a toddler who developed hypophosphatemic rickets from elemental formula. Frequent monitoring of mineral metabolism is crucial for children on these formulas.

Area of Science:

  • Pediatric Endocrinology
  • Nutritional Science
  • Clinical Case Reports

Background:

  • Rickets, a condition of bone softening, can occur in children.
  • Elemental formulas are used when standard nutrition cannot be tolerated.

Observation:

  • A toddler developed hypophosphatemic rickets.
  • The condition was associated with the use of an elemental formula.

Findings:

  • Elemental formulas may lack sufficient phosphorus or vitamin D for some children.
  • This case demonstrates a link between elemental formula use and rickets development.

Implications:

  • Close monitoring of mineral metabolism is essential in children on long-term elemental formula.
  • Rickets should be considered in the differential diagnosis of unexplained fractures or bone deformities in children, including in cases of suspected child abuse.

Keywords:
Child abuseelemental formulahypophosphatemic ricketsrickets

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