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A Case of Rickets Developed after Feeding on Sunsik for Seven Months

Journal of the Korean Pediatric Society 2003;46(11):1143-1146.
Published online November 15, 2003.
A Case of Rickets Developed after Feeding on Sunsik for Seven Months
Jeong-A Yang1, Kyung-A Jang1, Hye-Won Park1, Wook Jang1, Man-Yong Han1, Young-A Cho2, Eun Lee3
1Department of Pediatrics, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea
2Department of Radiology, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea
3Department of Nutrition, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea
7개월간 선식만 먹인 영아에서 발생한 구루병 1례
양정아1, 장경아1, 박혜원1, 장욱1, 한만용1, 조영아2, 이은3
1포천중문의과대학 소아과학교실
2포천중문의과대학 방사선과학교실
3포천중문의과대학 영양과
Correspondence: 
Man-Yong Han, Email: drmesh@cha.ac.kr
Abstract
Rickets is a nutritional disorder which is caused either by deficiency of vitamin D or by a defective activation of vitamin D. In these days, even though the incidence of rickets has decreased through adequate nutritional support, we sometimes experience rickets in babies receiving a prolonged special diet as therapy for chronic diarrhea, or those subject to a in receiving the prolonged elimination of milk because of allergy. But there are no reports about rickets caused by absolute elimination of milk because of allergies in Korea. We report here a case of rickets developed after feeding on Sunsik(a mixture of several grain and fruits powder) during a seven months period in an 8-month-old male patient. This male infant manifested vomiting, poor feeding, decreased serum calcium and 25- hydroxycholecalciferol levels, and markedly increased serum alkaline phosphatase and parathyroid hormone levels. Skeletal X-rays showed cupping and fraying in distal metaphyses of radius and ulna, and generalized osteopenia. The patient improved with vitamin D and calcium therapy.
Key Words: Rickets, Vitamin D, Weaning, Nutrition, Infant


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