RESPIRATORY DISTRESS: A RARE PRESENTATION OF RICKETS
Abstract
Nutritional rickets has multiple presentations like skeletal deformities, tetany, hypocalcemicseizures, recurrent diarrhea, dental abnormalities, developmental delay and floppiness. Here a rarepresentation of nutritional rickets is reported in five months old baby who had respiratory distresssince two months and signs of respiratory distress resolved after start of vitamin-Dsupplementation.Keywords: Nutritional Rickets, Respiratory Distress, Vitamin DReferences
Hameed A, Ahmad S, Rehman S, Urakzai AA,
Gandapur AJ. A study of nutritional rickets-Morbidity
and aetiology of low profile disorder. JPMI
;12(2):14-21.
DeLucia MC,Minik ME, Carpenter TO .Nutritional
rickets with normalcirculating 25-hydroxyvitamin D:a
call for reexamining the role of dietary calcium intake
in North American infants. J Clin Endocrinol Metab
;88:3539-45.
Mughal Z. Rickets in childhood. Semin Musculoskel
Radiol 2002;6183-90.
Mughal Z, Salama H, Greenway T, Laing I, Mawer EB.
Florid rickets associated with prolonged breast feeding
without vitamin D supplementation. BMJ 1999;318:3 9-
Salimpur R. Rickets in Tehran. Study of 200 cases.
Arch Dis Child 1975;50:63-6.
Dwyer JT, Dietz WH, Hass G. Risk of nutritional
rickets among vegetarian children. .Am J Dis Child
;133:134-40.
Abdullah MA, Salhi HS, Bakry LA. Adolescent rickets
in Saudi Arabia: a rich and sunny country. J Pediatr
Endocrinol Metab 2002;15:182-5.
Hatman JJ. Vitamin D deficiency rickets in children
prevalence and need for community education. OrthoNurs 2000;19(1):63-7.
Majid MA, Badawi MH, al Yaish S, Sharma P, el
Salman RS, Molla AM. Risk factors for rickets in
children in Kuwait.Pediatr-Int 2000;42(3):280-4.
Lawrence M, Gartner MD, Frank R, Greer MD.
Prevention of rickets and vitamin D deficiency: New
Guidelines for Vitamin D intake. Pediatrics
;111(4):908-10.
Holik MF. Vitamin D: The underappreciated D-lightful
hormone that is important for skeletal and cellular
health. Curr Opin Endocrinol diabetes.2002;9:87-98.
Jamal A, Khanani AR, Biloo G, Asghaar A, Jafri Z.
Rickets in slums off Karachi. Pak J Med Sci
;12(3):247-50.
MacGrath J. Does “imprinting with low prenatal
vitamin D contributes to the risk of various adult
disorders. Med hypothesis 2001;