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Nutritional rickets.

S T Jacobsen, C K Hull, A H Crawford

    Journal of Pediatric Orthopedics
    |November 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Nutritional rickets can cause unusual bone problems in children, especially those on vegetarian diets without dairy. Early diagnosis is crucial for affected infants and toddlers.

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    Area of Science:

    • Orthopaedic Surgery
    • Pediatrics
    • Nutritional Science

    Background:

    • Nutritional rickets, a condition causing bone deformities, can occur in infants and children.
    • Certain dietary practices, such as vegetarianism and avoidance of dairy, are associated with an increased risk.
    • Previous studies have highlighted the importance of dietary factors in the development of rickets.

    Purpose of the Study:

    • To identify the prevalence and characteristics of nutritional rickets in a pediatric population.
    • To investigate the dietary factors contributing to nutritional rickets in susceptible groups.
    • To emphasize the diagnostic considerations for nutritional rickets in patients with bone problems and specific dietary histories.

    Main Methods:

    • Retrospective case series analysis.

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  • Review of patient records over a 2-year period.
  • Clinical and dietary history assessment.

    • Main Results:

    • Eight pediatric patients presented with unusual fractures and musculoskeletal issues attributed to nutritional rickets.
    • All affected patients were Black, breast-fed for 6-12 months, and followed vegetarian diets.
    • Four patients were members of the Black Hebrew community, with diets excluding dairy products and vitamin D supplements.

    Conclusions:

    • Nutritional rickets should be considered in the differential diagnosis of pediatric bone problems, particularly in vegetarian patients.
    • A dairy-free diet is a significant risk factor for developing nutritional rickets.
    • Healthcare providers should inquire about dietary habits, including dairy and vitamin D intake, when evaluating children with unexplained bone abnormalities.