Clinical practice Diagnostic approach to the rachitic child
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Jaishen Rajah & Kebashni Thandrayen & John M. Pettifor
- چاپ و سال / کشور: 2011
Description
Rickets remains a common problem among infants and children in many countries worldwide. Although the classical presentation associated with bone abnormalities is well known, paediatricians need to be aware of atypical presentations, especially in the first 6 months of life. Furthermore, although vitamin D deficiency rickets remains the commonest form of rickets in most countries, health care providers need to be aware of other possible causes and their typical clinical and biochemical presentations. This article discusses these and highlights the characteristic features of various forms of rickets and possible pitfalls clinicians should be aware of when confronted with a patient with suspected rickets. In conclusion, the recent advances made in understanding the underlying pathogeneses of the various forms of rickets has helped to delineate the diagnostic tests that assist in the diagnosis and management of the disease in children.
Eur J Pediatr DOI 10.1007/s00431-011-1529-z Received: 2 May 2011 / Accepted: 28 June 2011
