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CASE REPORT RESPIRATORY DISTRESS: A RARE PRESENTATION OF RICKETS

Source: www.ayubmed.edu.pk
Topic: Rickets
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Sort Desciption: Nutritional rickets has multiple presentations like skeletal deformities, tetany, hypocalcemic seizures, recurrent diarrhea, dental abnormalities, developmental delay and floppiness. ...

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Nutritional rickets has multiple presentations like skeletal deformities, tetany, hypocalcemic seizures, recurrent diarrhea, dental abnormalities, developmental delay and floppiness. Here a rare presentation of nutritional rickets is reported in five months old baby who had respiratory distress since two months and signs of respiratory distress resolved after start of vitamin-D supplementation.

Nutritional rickets remains a problem in a country like Pakistan with plenty of sunshine. Nutritional calcium deficiency has been reported as an important contributing factor recently in North American infants with normal serum 25-hydroxy vitamin D levels, however vitamin D deficiency remains a major cause of morbidity in children with nutritional rickets. Though termed nutritional, ultraviolet sun rays cause synthesis of vitamin D in the skin. In addition to malnutrition, vegetarian, dark skin and limited sun exposure due to staying indoor or extensive covering of the skin are predisposing factors. Nutritional rickets has multiple clinical presentations. In this case report five months old baby presented with signs of respiratory distress since two months which resolved after start of vitamin D supplementation.

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