Moncrieff M W, Lunt H R, Arthur L J
Arch Dis Child. 1973 Mar;48(3):221-4. doi: 10.1136/adc.48.3.221.
Four adolescent Asians with vitamin D deficiency rickets were seen in Derby in the 5 years 1967 to 1971. They had an extremely low intake of vitamin D, and this, combined with the extra metabolic demands of puberty, was judged to be the main cause of the rickets. However, since investigation of their sibs revealed 4 further cases of rickets, it is possible that some of these children had an inherited disability in the metabolism of vitamin D. 2 cases of iron deficiency anaemia were found among their sibs. We suspect that nutritional deficiencies may be widespread in the Asian community in Britain and that prevention depends on dietary education.
1967年至1971年的5年间,在德比市发现了4名患有维生素D缺乏性佝偻病的亚洲青少年。他们维生素D的摄入量极低,再加上青春期额外的代谢需求,被认为是佝偻病的主要病因。然而,对他们兄弟姐妹的调查又发现了另外4例佝偻病病例,因此这些孩子中有些可能存在维生素D代谢的遗传性缺陷。在他们的兄弟姐妹中还发现了2例缺铁性贫血。我们怀疑营养缺乏在英国的亚裔社区可能很普遍,预防措施取决于饮食教育。