Binstadt D H, L'Heureux P R
Pediatr Radiol. 1978 Dec 4;7(4):211-4. doi: 10.1007/BF02386710.
Fifteen newborn infants developed roentgenographic evidence of rickets while on long-term intravenous hyperalimentation. In each instance, the initial diagnosis of rickets was suggested on the chest roentgenogram, where characteristic cupped and frayed upper humeral metaphyses were noted; subsequent knee and wrist roentgenograms substantiated these findings. Factors which may have predisposed to the development of rickets include inadequate doses of vitamin D, prematurity and a rapid change in body weight during hyperalimentation therapy.
15名新生儿在接受长期静脉高营养治疗期间出现了佝偻病的X线证据。在每一个病例中，佝偻病的初步诊断都是根据胸部X线片提出的，在胸部X线片上可以看到肱骨近端干骺端有典型的杯口状和毛糙现象；随后的膝关节和腕关节X线片证实了这些发现。可能易患佝偻病的因素包括维生素D剂量不足、早产以及高营养治疗期间体重的快速变化。
