Rickets Types and Treatment with Vitamin D and Analogues

The definition of “Vitamin D” encompasses a group of fat-soluble steroid compounds of different origins with similar chemical structures and the same biological effects. Vitamin D deficiency and/or a defect in the process of its synthesis or transport predispose individuals to several types of ricke...

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Main Authors: Giacomo Biasucci, Valentina Donini, Giuseppe Cannalire
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/3/416
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author Giacomo Biasucci
Valentina Donini
Giuseppe Cannalire
author_facet Giacomo Biasucci
Valentina Donini
Giuseppe Cannalire
author_sort Giacomo Biasucci
collection DOAJ
description The definition of “Vitamin D” encompasses a group of fat-soluble steroid compounds of different origins with similar chemical structures and the same biological effects. Vitamin D deficiency and/or a defect in the process of its synthesis or transport predispose individuals to several types of rickets. In addition to cholecalciferol, ergocalciferol, and vitamins D3 and D2, there are also active metabolites for the treatment of this condition which are commercially available. Calcitriol and aphacalcidiol are active metabolites that do not require the renal activation step, which is required with calcifediol, or hepatic activation. The purpose of this review is to summarize current approaches to the treatment of rickets for generalist physicians, focusing on the best vitamin D form to be used in each type, or, in the case of X-linked hypophosphatemic rickets (XLH), on both conventional and innovative monoclonal antibody treatments.
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spelling doaj.art-55abdb98e71b4abeb42f5f580f73beee2024-02-09T15:19:54ZengMDPI AGNutrients2072-66432024-01-0116341610.3390/nu16030416Rickets Types and Treatment with Vitamin D and AnaloguesGiacomo Biasucci0Valentina Donini1Giuseppe Cannalire2Pediatrics and Neonatology Unit, University of Parma, Gugliemo da Saliceto Hospital, 29121 Piacenza, ItalyUnit of Pediatrics, Department of Medicine and Surgery, University of Parma, 43121 Parma, ItalyPediatrics and Neonatology Unit, University of Parma, Gugliemo da Saliceto Hospital, 29121 Piacenza, ItalyThe definition of “Vitamin D” encompasses a group of fat-soluble steroid compounds of different origins with similar chemical structures and the same biological effects. Vitamin D deficiency and/or a defect in the process of its synthesis or transport predispose individuals to several types of rickets. In addition to cholecalciferol, ergocalciferol, and vitamins D3 and D2, there are also active metabolites for the treatment of this condition which are commercially available. Calcitriol and aphacalcidiol are active metabolites that do not require the renal activation step, which is required with calcifediol, or hepatic activation. The purpose of this review is to summarize current approaches to the treatment of rickets for generalist physicians, focusing on the best vitamin D form to be used in each type, or, in the case of X-linked hypophosphatemic rickets (XLH), on both conventional and innovative monoclonal antibody treatments.https://www.mdpi.com/2072-6643/16/3/416ricketsergocalciferolcholecalciferolFGF23Burosumab
spellingShingle Giacomo Biasucci
Valentina Donini
Giuseppe Cannalire
Rickets Types and Treatment with Vitamin D and Analogues
Nutrients
rickets
ergocalciferol
cholecalciferol
FGF23
Burosumab
title Rickets Types and Treatment with Vitamin D and Analogues
title_full Rickets Types and Treatment with Vitamin D and Analogues
title_fullStr Rickets Types and Treatment with Vitamin D and Analogues
title_full_unstemmed Rickets Types and Treatment with Vitamin D and Analogues
title_short Rickets Types and Treatment with Vitamin D and Analogues
title_sort rickets types and treatment with vitamin d and analogues
topic rickets
ergocalciferol
cholecalciferol
FGF23
Burosumab
url https://www.mdpi.com/2072-6643/16/3/416
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