Camadoo Laxmi, Tibbott Rebecca, Isaza Fernando
Paediatrics, Nambour hospital, Mapleton Road, Nambour, Queensland, 4560, Australia.
Nutr J. 2007 Sep 19;6:23. doi: 10.1186/1475-2891-6-23.
Maternal vitamin D insufficiency is not uncommon. Infants born to mothers who are deficient in vitamin D and or calcium, usually due to cultural modifications in their diets or clothing habits, and in addition are breastfed, are at risk of developing vitamin D deficiency and hypocalcaemia. We present a case of neonatal hypocalcaemic seizures secondary to vitamin D deficiency. Rickets in children resulting from vitamin D deficiency is well documented. It is also becoming clear that there is a positive correlation between maternal vitamin D status during pregnancy and lactation and the development of rickets both in infancy and childhood. The correlation between maternal vitamin D, neonatal vitamin D and hypocalcaemia is not well documented.
孕妇维生素D不足并不罕见。母亲缺乏维生素D和/或钙的婴儿,通常是由于饮食或衣着习惯的文化改变,此外如果是母乳喂养,就有患维生素D缺乏和低钙血症的风险。我们报告一例继发于维生素D缺乏的新生儿低钙惊厥病例。维生素D缺乏导致儿童佝偻病已有充分文献记载。越来越明显的是,孕期和哺乳期母亲的维生素D状态与婴儿期和儿童期佝偻病的发生之间存在正相关。母亲维生素D、新生儿维生素D与低钙血症之间的相关性尚无充分文献记载。