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Indian Journal of Pediatrics
Published in: Indian Journal of Pediatrics 8/2014

01-08-2014 | Clinical Brief

Congenital Rickets Presenting as Refractory Respiratory Distress at Birth

Authors: Soumya Tiwari, Rajesh Kumar, Shilpy Singla, Ajay Dudeja, Sushma Nangia, Arvind Saili

Published in: Indian Journal of Pediatrics | Issue 8/2014

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Abstract

Congenital rickets is a very rare entity in the spectrum of metabolic bone disease in children. The authors report an as yet unreported case of congenital rickets presenting with respiratory distress at birth. The radiographs of long bones and wrist showed generalized osteopenia with cupping and fraying of epiphyseal ends in the second week of life. The patient was managed with very high doses of vitamin D which led to clinico-radiological and biochemical improvement. More than being interesting for its extreme rarity, this report assumes importance as it brings forth the possibility of congenital rickets being a differential diagnosis for a newborn with respiratory distress.
Literature
1.
Teotia M, Teotia SPS, Nath M. Metabolic studies in congenital vitamin D deficiency rickets. Indian J Pediatr. 1995;62:55–61.PubMedCrossRef
2.
3.
Koo WWK, Steichen JJ. Osteopenia and rickets of prematurity. In: Polin RA, Fox WW, eds. Fetal and Neonatal Physiology. 2nd ed. Philadelphia: WB Saunders Co; 1998. pp. 2335–49.
4.
Gertner JM, Glassman MS, Coustan DR, Goodman DB. Fetomaternal vitamin D relationship at term. J Pediatr. 1980;97:637–40.PubMedCrossRef
5.
Sachan A, Gupta R, Das V, Agarwal A, Awasthi PK, Bhatia V. High prevalence of vitamin D deficiency among pregnant women and their newborns in northern India. Am J Clin Nutr. 2005;81:1060–4.PubMed
6.
Maxwell JP. Further studies in adult rickets (osteomalacia) and fetal rickets. Proc Roy Soc Med. 1935;28:265–300.PubMedCentral
7.
Erdeve O, Atasay B, Arsan S, Siklar Z, Ocal G, Berberoğlu M. Hypocalcemic seizure due to congenital rickets in the first day of life. Turk J Pediatr. 2007;49:301–3.PubMed
8.
Innes AM, Seshia MM, Prasad C, Al Saif S, Friesen FR, Chudley AE, et al. Congenital rickets caused by maternal vitamin D deficiency. Paediatr Child Health. 2002;7:455–8.PubMedCentralPubMed
9.
Mohapatra A, Sankaranarayanan K, Kadam SS, Binoy S, Kanbur WA, Mondkar JA. Congenital rickets. J Trop Pediatr. 2003;49:126–7.PubMedCrossRef
Metadata
Title
Congenital Rickets Presenting as Refractory Respiratory Distress at Birth
Authors
Soumya Tiwari
Rajesh Kumar
Shilpy Singla
Ajay Dudeja
Sushma Nangia
Arvind Saili
Publication date
01-08-2014
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 8/2014
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-013-1099-3

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