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素食儿童中的维生素D缺乏性佝偻病和维生素B12缺乏症

Vitamin D deficiency rickets and vitamin B12 deficiency in vegetarian children.

作者信息

Hellebostad M, Markestad T, Seeger Halvorsen K

出版信息

Acta Paediatr Scand. 1985 Mar;74(2):191-5. doi: 10.1111/j.1651-2227.1985.tb10948.x.

DOI:10.1111/j.1651-2227.1985.tb10948.x
PMID:3993364
Abstract

During the years 1978-83 four vegetarian children have been admitted to the pediatric departments of Ullevaal and Aker Hospitals in Oslo and Haukeland Hospital, Bergen, with the diagnosis of vitamin D deficiency rickets. One had vitamin B12 deficiency as well. All had been fed a vegetarian diet with some cows' milk, but without vitamin supplementation. All had marked hypocalcemia, and three had tetany or convulsions. All responded well to conventional doses of vitamin D therapy. Two of the mothers had vitamin D deficiency, and one of them also had vitamin B12 deficiency. This report describes the case histories of these children, and also discusses predisposing factors of vegetarian diets for the development of nutritional rickets.

摘要

1978年至1983年间,奥斯陆的乌勒瓦尔医院和阿克医院以及卑尔根的豪克兰医院的儿科收治了4名素食儿童,诊断为维生素D缺乏性佝偻病。其中1名儿童还伴有维生素B12缺乏。所有儿童均食用含少量牛奶的素食,但未补充维生素。所有儿童均有明显的低钙血症,3名儿童出现手足搐搦或惊厥。所有儿童对常规剂量的维生素D治疗反应良好。其中2名儿童的母亲有维生素D缺乏,其中1名母亲还伴有维生素B12缺乏。本报告描述了这些儿童的病史,并讨论了素食饮食导致营养性佝偻病的易感因素。

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