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All issues > Volume 46(11); 2003

Case Report
J Korean Pediatr Soc. 2003;46(11):1143-1146. Published online November 15, 2003.
A Case of Rickets Developed after Feeding on Sunsik for Seven Months
Jeong-A JA Yang1, Kyung-A KA Jang1, Hye-Won HW Park1, Wook W Jang1, Man-Yong MY Han1, Young-A YA Cho2, Eun E Lee3
1Department of Pediatrics, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea
2Department of Radiology, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea
3Department of Nutrition, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea
Correspondence Man-Yong MY Han ,Email: drmesh@cha.ac.kr
Abstract
Rickets is a nutritional disorder which is caused either by deficiency of vitamin D or by a defective activation of vitamin D. In these days, even though the incidence of rickets has decreased through adequate nutritional support, we sometimes experience rickets in babies receiving a prolonged special diet as therapy for chronic diarrhea, or those subject to a in receiving the prolonged elimination of milk because of allergy. But there are no reports about rickets caused by absolute elimination of milk because of allergies in Korea. We report here a case of rickets developed after feeding on Sunsik(a mixture of several grain and fruits powder) during a seven months period in an 8-month-old male patient. This male infant manifested vomiting, poor feeding, decreased serum calcium and 25- hydroxycholecalciferol levels, and markedly increased serum alkaline phosphatase and parathyroid hormone levels. Skeletal X-rays showed cupping and fraying in distal metaphyses of radius and ulna, and generalized osteopenia. The patient improved with vitamin D and calcium therapy.

Keywords :Rickets, Vitamin D, Weaning, Nutrition, Infant

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