Recent trends and clinical features of childhood vitamin D deficiency presenting to a children's hospital in Glasgow

被引:83
作者
Ahmed, S. F. [1 ]
Franey, C.
McDevitt, H.
Somerville, L. [2 ]
Butler, S. [3 ]
Galloway, P. [4 ,5 ]
Reynolds, L. [6 ]
Shaikh, M. G.
Wallace, A. M. [5 ]
机构
[1] Royal Hosp Sick Children, Dept Child Hlth, Bone & Endocrinol Res Grp, Glasgow G62 8NT, Lanark, Scotland
[2] Royal Hosp Sick Children, Dept Community Paediat, Glasgow G62 8NT, Lanark, Scotland
[3] Royal Hosp Sick Children, Dept Paediat Radiol, Glasgow G62 8NT, Lanark, Scotland
[4] Royal Hosp Sick Children, Dept Clin Biochem, Glasgow G62 8NT, Lanark, Scotland
[5] Glasgow Royal Infirm, Dept Clin Biochem, Glasgow G4 0SF, Lanark, Scotland
[6] Univ Glasgow, Dept Publ Hlth, Glasgow, Lanark, Scotland
关键词
RICKETS;
D O I
10.1136/adc.2009.173195
中图分类号
R72 [儿科学];
学科分类号
100202 [儿科学];
摘要
Background The incidence of vitamin D deficiency is unclear in the context of continuing demographic changes and the introduction of new public health measures. Methods All cases in which vitamin D deficiency was suspected as the primary cause of the clinical presentation were studied. Results Between 2002 and 2008, 160 cases of symptomatic vitamin D deficiency were identified with twice as many cases in 2008 (n, 42) as in the previous years. The median age of the cohort was 24 months (range 2 weeks-14 years). Three cases were recorded in children of European background, whereas the rest were in children of South Asian, Middle Eastern or sub-Saharan ethnic background. Presenting features included bowed legs in 64 (40%) and a fit in 19 (12%). In one infant, concerns were raised following a presentation with cardiac failure and hypocalcaemia. Summary Symptomatic vitamin D deficiency remains prevalent in the West of Scotland. There is a need for effective public health education, action and surveillance.
引用
收藏
页码:694 / 696
页数:3
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