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Date: | Wed, 31 Dec 2003 16:23:58 EST |
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PEDIATRICS Vol. 113 No. 1 January 2004, pp. e70-e72
EXPERIENCE AND REASON
Secondary Prevention of Vitamin D-Deficiency Rickets
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.
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
http://pediatrics.aappublications.org/cgi/content/abstract/113/1/e70?etoc
Kathleen Fallon Pasakarnis, M.Ed. IBCLC
Nurturing Family Lactation and Parenting Services
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