Mode of presentation of symptomatic vitamin D deficiency in tertiary care centre in Jharkhand, India
Keywords:Presentation, Symptomatic, Vitamin D deficiency
Background:Vitamin D deficiency rickets is easily treated, once it is recognized however it has significant potential for morbidity and mortality including failure to thrive, seizure, increased susceptibility to infection and potential for chronic problem with growth and skeletal changes. Mode of presentation and chief complaint is quite variable in vitamin D deficiency.
Methods: The present study was done to know the incidence and mode of presentation of symptomatic vitamin D deficiency. The subject of the study was selected from children less than five year of age with various presentations of symptomatic vitamin D deficiency and final diagnosis of rickets by biochemical finding (alkaline phosphatase high and serum phosphate low) and long bone x ray changes such as cupping, splaying and fraying of the metaphysis.
Results:Thus most common presenting feature was bowed legs (34.5%) followed by delayed motor development (20.7%), failure to thrive (13.8%) and chest infection (10.3%). Two babies presented with hypocalcaemia seizure in the neonatal period. Both babies were breast feed. Bone pain as mode of presentation was also seen in two children. Incidental finding of rickets was present in two children.
Conclusions:Thus our study highlights that symptomatic vitamin D deficiency can present in many ways and we should be aware of it so as to treat it early and effectively. There should be effort to prevent this condition by educating the parents the importance of giving child vitamin D enriched food and sunlight exposure.
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