Nutritional rickets in children (case report)

Abstract

Nutritional rickets (NR) caused by vitamin D and/or dietary calcium deficiency remains a significant global, public health problem. The main causes of NR are discussed with a focus on the investigations, management and prophylaxis by the Global Consensus Recommendations on Prevention and Management of NR (2016). The article presents a clinical case of NR in a girl aged 4 years and 3 months admitted to our hospital with severe deformation of low extremities. She was found to have vitamin D-deficient state with extremely high alkaline phosphatase, suggestive for massive bone resorption. NR was diagnosed following comprehensive examination and therapy according to the protocol was initiated. Conclusions: NR rate tends to the incline in both low-income and industrialized countries, which requires special attention of pediatricians to the classical clinical presentation with particular focus on the risk group.