Rickets of premature infants induced by calcium deficiency. A case report.
Changgeng Yi Xue Za Zhi
; 20(2): 142-7, 1997 Jun.
Article
en En
| MEDLINE
| ID: mdl-9260376
Rickets of prematurity is not uncommon in neonatal intensive care units. Nutritional rickets in childhood is usually caused by vitamin D deficiency, but the rickets of prematurity is mainly attributable to calcium and phosphorus deficiencies. We present a premature infant with sequelae of necrotizing enterocolitis who needed prolonged administration of total parenteral nutrition (TPN), and who sustained ricketic fracture. After high calcium-fortified TPN supplementation the fracture healed well, and serum alkaline phosphatase dropped. This finding shows (1) serum calcium and phosphorus levels are of predictive value regarding rickets, (2) regular follow-ups of alkaline phosphatase levels combined with radiography in high-risk groups of premature infants are good tools for monitoring rickets, and (3) prolonged TPN administration needs to contain higher calcium and phosphorus concentrations in prematurity than in childhood.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Raquitismo
/
Calcio
Tipo de estudio:
Prognostic_studies
Límite:
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
Changgeng Yi Xue Za Zhi
Asunto de la revista:
MEDICINA
Año:
1997
Tipo del documento:
Article
Pais de publicación:
China