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<title>[Box], Clinical Case 5.5 - Endocrinology - NCBI Bookshelf</title>
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<meta name="robots" content="NOINDEX,NOFOLLOW,NOARCHIVE,NOIMAGEINDEX" /><link rel="schema.DC" href="http://purl.org/DC/elements/1.0/" /><meta name="DC.Title" content="[Box], Clinical Case 5.5" /><meta name="DC.Type" content="Text" /><meta name="DC.Publisher" content="BIOS Scientific Publishers" /><meta name="DC.Contributor" content="Stephen Nussey" /><meta name="DC.Contributor" content="Saffron Whitehead" /><meta name="DC.Date" content="2001" /><meta name="DC.Identifier" content="https://www.ncbi.nlm.nih.gov/books/NBK24/" /><meta name="description" content="An 18-month-old child first walked at 14 months of age. She was noted to have an odd gait and deformity of the legs. Dietary vitamin D deficiency rickets was diagnosed at another hospital and she was treated with vitamin D2. By the age of 2 years her deformity was more marked (Box 5.31). She was reinvestigated. When taking her vitamin D2, her serum calcium was 2.32 mmol/l (NR 2.2–2.6 mmol/l) with a phosphate of 0.58 mmol/l (NR 1.16–1.91 mmol/l). The serum PTH concentration was 12 pmol/l (NR 1–6 pmol/l)." /><meta name="bk-non-canon-loc" content="/books/n/endocrin/A742/" /><link rel="canonical" href="https://www.ncbi.nlm.nih.gov/books/NBK24/" /><link rel="stylesheet" href="/corehtml/pmc/css/figpopup.css" type="text/css" media="screen" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books.min.css" type="text/css" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books_print.min.css" type="text/css" media="print" /><style type="text/css">p a.figpopup{display:inline !important} .bk_tt {font-family: monospace} .first-line-outdent .bk_ref {display: inline} </style><script type="text/javascript" src="/corehtml/pmc/js/jquery.hoverIntent.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/common.min.js?_=3.18"> </script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/book-toc.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/books.min.js"> </script>
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<div class="main-content lit-style"><div class="body-content whole_rhythm"><div id="ch5cc5" class="box"><h3><span class="title">Clinical Case 5.5</span></h3><p>An 18-month-old child first walked at 14 months of age. She was noted to have an odd gait and deformity of the legs. Dietary vitamin D deficiency rickets was diagnosed at another hospital and she was treated with vitamin D2. By the age of 2 years her deformity was more marked (Box 5.31). She was reinvestigated. When taking her vitamin D2, her serum calcium was 2.32 mmol/l (NR 2.2–2.6 mmol/l) with a phosphate of 0.58 mmol/l (NR 1.16–1.91 mmol/l). The serum PTH concentration was 12 pmol/l (NR 1–6 pmol/l).</p><p>The child was diagnosed as having dietary vitamin D deficiency but the clinical features deteriorated while taking apparently adequate treatment; either the family had not been administering the treatment or the diagnosis was incorrect (or both). Family frictions made it difficult to obtain a full family history but, after lengthy discussions, the child's mother later admitted to having been treated for rickets in childhood and blamed her own mother for her childhood difficulties associated with this disease.</p></div><div id="bk_toc_contnr"></div></div></div>
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<div class="post-content"><div><p>From: <a href="/books/NBK24/" target="mainwindow">Chapter 5, The parathyroid glands and vitamin D</a></p><div class="iconblock clearfix ten_col"><a class="img_link icnblk_img" title="Table of Contents Page" href="/books/n/endocrin/" target="mainwindow"><img class="source-thumb" src="/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-endocrin-lrg.png" alt="Cover of Endocrinology" height="100px" width="80px" /></a><div class="icnblk_cntnt"><div><div>Endocrinology: An Integrated Approach.</div><div>Nussey S, Whitehead S.</div><div>Oxford: <a href="http://www.garlandscience.com/about.asp" target="mainwindow" ref="pagearea=content-footer&targetsite=external&targetcat=link&targettype=publisher">BIOS Scientific Publishers</a>; 2001.</div></div></div></div><div class="half_rhythm"><a href="/books/about/copyright/" target="mainwindow">Copyright</a> © 2001, BIOS Scientific Publishers Limited.</div><p>NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.</p></div></div>
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