Erdeve Omer, Atasay Begüim, Arsan Saadet, Siklar Zeynep, Ocal Gönül, Berberoğlu Merih
Division of Neonatology, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey.
Turk J Pediatr. 2007 Jul-Sep;49(3):301-3.
Congenital rickets is considered a rare disease entity in the newborn period. Hypocalcemic seizure due to congenital rickets has been reported, but this symptom generally appears at the earliest at the end of the first month of life. A congenital rickets case presented unusually with seizure on the first day of life is reported, and the continuing occurrence of the disease with serious consequences even at the beginning of life is emphasized. Despite improved prenatal care offered today, congenital rickets still occurs. It seems that vitamin D deficiency in the neonate secondary to maternal deficiency should be a consideration for the pediatrician or neonatologist caring for newborns. Physicians should be aware of risk factors that can trigger the development of this condition and should be alert to the signs of congenital rickets in order to commence appropriate treatment and prevent complications such as seizure occurring as early as shortly after birth.
先天性佝偻病被认为是新生儿期一种罕见的疾病实体。虽然已有因先天性佝偻病导致低钙血症惊厥的报道,但这种症状通常最早出现在出生后第一个月末。本文报告了一例先天性佝偻病病例,该病例在出生第一天就异常出现惊厥,并强调了这种疾病即使在生命初期也会持续发生并带来严重后果。尽管如今提供了更好的产前护理,但先天性佝偻病仍会发生。对于照顾新生儿的儿科医生或新生儿科医生来说,继发于母体缺乏的新生儿维生素D缺乏似乎应予以考虑。医生应了解可能引发这种疾病的危险因素,并应对先天性佝偻病的体征保持警惕,以便尽早开始适当治疗并预防诸如出生后不久就出现惊厥等并发症。