INCIDENCE OF RICKET CLINICAL SYMPTOMS AND RELATION BETWEEN CLINICAL AND LABORATORY FINDINGS IN INFANTS

M. Cukalovic ,
M. Cukalovic
J. Krdzic-Milovanovic ,
J. Krdzic-Milovanovic
A. Odalovic ,
A. Odalovic
D. Jaksic
D. Jaksic

Published: 01.12.2013.

Volume 43, Issue 3 (2014)

pp. 87-90;

https://doi.org/10.5937/pramed1403087c

Abstract

Rickets presents osteomalacia which is developed due to negative balance of calcium and / or phosphorus during growth and development. Therefore it appears only in children. The most common reason of insufficient mineralization is deficiency of vitamin D, which is necessary for inclusion of calcium in cartilage and bones. As result, proliferation of cartilage and bone tissue appears, creating calluses on typical places. Bones become soft and curve, resulting in deformities. Our present study included 86 infants, in whom, besides other diseases, clinical and laboratory signs of rickets were identified. In our study, rickets is most common (82.5%) in infants older than 6 months. By clinical picture, craniotabes is present in 46.5% of cases, Harisson groove in 26.7%, rachitic bracelets in 17.4%, rachitic rosary in 17.4% and carpopedal spasms in 2.3% of cases. Leading biochemical signs of vitamin D deficient rickets is hypophosphatemia (in 87.3% of cases), normal calcemia (in 75.6% of cases) and increased values of alkaline phosphatase (in 93% of cases). It has been shown that rickets in infant age may later affect higher incidence of juvenile diabetes, infection of lower respiratory tract, osteoporosis, and so on.

Keywords

References

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Čukalović UKSRIOIKILNUO, Krdžić-Milovanović M, Odalović J, Jakšić A, D. Dečja klinika, Medicinski fakultet Priština, Kosovska Mitrovica SAŽETAK Pod rahitisom se podrazumeva osteomalacija koja nastaje kao posledica negativnog bilansa kalcijuma i/ili fosfora tokom perioda rasta i razvoja. Zato se javlja samo kod dece. Najčešći razlog nedovoljne mineralizacije jeste nedostatak vitamina D neophodnog za ugradnju kalcijuma u hrskavice i kosti i kao posledica javlja se bujanje hrskavičavog i koštanog tkiva, što stvara zadebljanja na tipičnim mestima, kosti postaju meke, krve se i tako nastaju deformiteti. Naše istraživanje obuhvatilo je 86 odojčadi, kod kojih su pored drugih oboljenja utvrđeni i klinički i laboratorijski znaci rahitisa. U našem istraživanju, rahitis se najčešće u (82,5%) sreće kod odojčadi starije od 6 meseci. U kliničkoj slici, craniotabes je zastupljen u 46,5% ispitanika. Harissonova brazda u.

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