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J Korean Pediatr Soc. 2003 Nov;46(11):1143-1146. Korean. Case Report.
Yang JA , Jang KA , Park HW , Jang W , Han MY , Cho YA , Lee E .
Department of Pediatrics, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea. drmesh@cha.ac.kr
Department of Radiology, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea.
Department of Nutrition, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea.
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.

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