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0009922807311397v1
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First published on January 11, 2008, doi:10.1177/0009922807311397

Clinical Pediatrics 2008;47:379.

A more recent version of this article appeared on May 1, 2008

Article

10-Year Case Review of Nutritional Rickets in Children's Hospital of Michigan

Judith P. Lazol, Nedim Çakan, and Deepak M. Kamat*

* To whom correspondence should be addressed. E-mail: dkamat{at}med.wayne.edu.


  Abstract
Nutritional rickets has been on the rise in the United States. A chart review of patients with nutritional rickets from April 1995 to May 2005 was performed. Fifty-eight subjects were studied (62% males, 38% females, with an age range between 2 and 132 months). Of the subjects, 81% were African Americans and 14% were Arabic; 33% were Christians and 19% were Muslims. An increasing number of cases of nutritional rickets have been noted since 2000. Seventy-nine percent of patients with nutritional rickets presented at the emergency department, and in 69% of the cases, rickets was an incidental finding; 96% of patients were exclusively breast-fed, and none received multivitamin supplements. 25-OH vitamin D levels were below 5 ng/mL in 42% of the patients, all of whom were African Americans. We could document complete resolution of nutritional rickets in only 8 patients, and 3 of these patients showed sequelae of rickets.


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