Kaper B P, Romness M J, Urbanek P J
Prescott Bone and Joint Specialists, Arizona, USA.
Am J Orthop (Belle Mead NJ). 2000 Mar;29(3):214-8.
Nutritional rickets, the classic form of vitamin D-deficiency rickets, is rarely seen in the setting of modern medicine. We report four cases of nutritional rickets diagnosed at the time of orthopedic evaluation at our institutions during a 3-year period. All patients were referred by their pediatricians for evaluation of bowlegs. All children lived in a northern climate. Three were black and one was white. Prolonged breast-feeding and an unusual diet were identified as the underlying cause in our cases. Genu varum, seen in the setting of relative short stature and low weight, with a consistent social history, should raise the suspicion for nutritional rickets. The continued prevalence of this disease entity must be recognized in both the primary care and the orthopedic surgery setting. Vitamin D supplementation and enhanced sunlight exposure serve as effective prophylaxis and treatment of this disease.
营养性佝偻病是维生素D缺乏性佝偻病的经典形式，在现代医学环境中很少见。我们报告了3年内我院骨科评估时诊断出的4例营养性佝偻病病例。所有患者均由儿科医生转诊以评估膝内翻。所有儿童都生活在北方气候地区。3名是黑人，1名是白人。在我们的病例中，长期母乳喂养和特殊饮食被确定为根本原因。在相对身材矮小和体重偏低的情况下出现膝内翻，且有一致的社会史，应引起对营养性佝偻病的怀疑。在初级保健和骨科手术环境中都必须认识到这种疾病实体的持续流行情况。补充维生素D和增加阳光照射是预防和治疗这种疾病的有效方法。
