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PEDIATRICS Vol. 113 No. 1 January 2004, pp. e70-e72

EXPERIENCE AND REASON

Secondary Prevention of Vitamin D-Deficiency Rickets

Jean T. Spence, MD and Janet R. Serwint, MD

From the Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland

Reports of vitamin D-deficiency rickets and its associated morbidity continue among inadequately supplemented, dark-skinned breastfed infants. Despite the new vitamin D dietary guidelines, there remain significant numbers of unsupplemented breastfed infants. Here we report a case of subclinical vitamin D-deficiency rickets. This patient had biochemical and radiographic but not clinical evidence for rickets. We propose a new step of screening high-risk infants for subclinical rickets using wrist films paired with 25-hydroxyvitamin D levels.

Key Words: vitamin D deficiency • rickets • breastfeeding • subclinical • prevention

Abbreviations: AAP, American Academy of Pediatrics

Received for publication Jun 9, 2003; Accepted Sep 9, 2003.


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[Abstract] [PDF]

eLetters:

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subclinical vit D deficiency rickets is life threatining
AbdelWahab T Elidrissy
Pediatrics Online, 2 Mar 2004 [Full text]
Re: subclinical vit D deficiency rickets is life threatining
Jean T Spence, et al.
Pediatrics Online, 3 Mar 2004 [Full text]
The importance of alkaline phosphatase level in subclinical rickets
Mohsen S Al-Atawi
Pediatrics Online, 25 Sep 2004 [Full text]
response to Dr. Al-Atawi's comments
Jean T. Spence
Pediatrics Online, 10 Oct 2004 [Full text]