The roles of vitamin D and dietary calcium in nutritional rickets

The etiology and pathogenesis of nutritional rickets are becoming progressively clearer. Vitamin D deficiency has generally been considered the major or only player in the pathogenesis of nutritional rickets. However, recent research into calcium deficiency has now provided clinicians with reasons t...

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Main Authors: Kebashni Thandrayen, John M. Pettifor
Format: Article
Language:English
Published: Elsevier 2018-06-01
Series:Bone Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2352187218300056
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author Kebashni Thandrayen
John M. Pettifor
author_facet Kebashni Thandrayen
John M. Pettifor
author_sort Kebashni Thandrayen
collection DOAJ
description The etiology and pathogenesis of nutritional rickets are becoming progressively clearer. Vitamin D deficiency has generally been considered the major or only player in the pathogenesis of nutritional rickets. However, recent research into calcium deficiency has now provided clinicians with reasons to investigate and manage patients with nutritional rickets more appropriately.The important question when assessing cases of nutritional rickets is: “Is it calcium or vitamin D deficiency or both that play a major role in the pathogenesis of the disease?”The case presentation in this review highlights the risk factors, clinical presentation and pathophysiology of nutritional rickets in a young South African black child from a semi-urban area in Johannesburg, a city with abundant sunshine throughout the year. Keywords: Nutritional rickets, Vitamin D, Dietary calcium, 1,25 dihydroxyvitamin D
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spelling doaj.art-2cb364b77e19406180199e5ebe16a7512022-12-21T18:39:20ZengElsevierBone Reports2352-18722018-06-0188189The roles of vitamin D and dietary calcium in nutritional ricketsKebashni Thandrayen0John M. Pettifor1Department of Paediatrics, Chris Hani Baragwanath Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Corresponding author.Department of Paediatrics, MRC/Wits Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaThe etiology and pathogenesis of nutritional rickets are becoming progressively clearer. Vitamin D deficiency has generally been considered the major or only player in the pathogenesis of nutritional rickets. However, recent research into calcium deficiency has now provided clinicians with reasons to investigate and manage patients with nutritional rickets more appropriately.The important question when assessing cases of nutritional rickets is: “Is it calcium or vitamin D deficiency or both that play a major role in the pathogenesis of the disease?”The case presentation in this review highlights the risk factors, clinical presentation and pathophysiology of nutritional rickets in a young South African black child from a semi-urban area in Johannesburg, a city with abundant sunshine throughout the year. Keywords: Nutritional rickets, Vitamin D, Dietary calcium, 1,25 dihydroxyvitamin Dhttp://www.sciencedirect.com/science/article/pii/S2352187218300056
spellingShingle Kebashni Thandrayen
John M. Pettifor
The roles of vitamin D and dietary calcium in nutritional rickets
Bone Reports
title The roles of vitamin D and dietary calcium in nutritional rickets
title_full The roles of vitamin D and dietary calcium in nutritional rickets
title_fullStr The roles of vitamin D and dietary calcium in nutritional rickets
title_full_unstemmed The roles of vitamin D and dietary calcium in nutritional rickets
title_short The roles of vitamin D and dietary calcium in nutritional rickets
title_sort roles of vitamin d and dietary calcium in nutritional rickets
url http://www.sciencedirect.com/science/article/pii/S2352187218300056
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