PEDIATRICS Vol. 66 No. 1 July 1980, pp. 72-76
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Unsuspected Nutritional Rickets

Mary Rudolf MBBS1, Karunyan Arulanantham MBBS1, and Robert M. Greenstein MD1

1 Departments of Pediatrics of the Waterbury Regional Pediatric Services, Newington Children's Hospital, and the University of Connecticut Health Center, Newington

Based on the presentation and clinical features of four cases of nutritional rickets, it is suggested that particular groups of children, namely vegetarians, children breast-fed for an unusually long time, and black children, are at risk to develop the nutritional deficiencies of vitamin D and calcium that lead to clinical rickets. The diagnoses in these cases were made by fortuitous radiologic examination, even though the children had been receiving regular pediatric supervision, indicating a lack of awareness of the condition. This report is intended to emphasize the reemergence of nutritional rickets and to illustrate the different modes of its clinical presentation.

Submitted on March 21, 1979
Accepted on October 1, 1979




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