頁籤選單縮合
題 名 | Vitamin D Deficiency Rickets Due to Inappropriate Feeding: Report of One Case=因不適當餵食所引起的維生素丁缺乏性佝僂症:一病例報告 |
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作 者 | 黃亮迪; 楊文理; 吳振龍; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 41:3 民89.05-06 |
頁 次 | 頁151-154+170 |
分類號 | 417.5914 |
關鍵詞 | 維生素丁缺乏性佝僂症; 食物過敏; 異位性皮膚炎; Vitamin D deficiency rickets; Food allergy; Atopic dermatitis; |
語 文 | 英文(English) |
中文摘要 | 維生素丁缺乏引起這佝僂症,主要由於外因性的維生素丁攝取不足,以及因日光照射不夠而使內因性維生素丁産生不足所引起。因為飲食上缺乏維生素丁而導致的嬰幼兒佝僂症在工業國家中已罕見。本文報告一個2歲5個月的女孩,她因雙膝疼痛,腕、肘、膝、踝關節粗大及下肢外形變曲,至本院就醫。病史發現此幼兒因自幼診斷為食物過敏引發異位性皮膚炎,因此給予限制各種食物攝取,僅喂以豆漿、稀飯為主食物,就醫前1個月才開始給予配方豆奶。實驗室檢驗發現該病患血中鈣正常,副甲狀腺素鹼性磷酸脢明顯昇高,放射線檢查發現該病患的腕、肘、膝、踝關節除變粗大外,長骨骨幹可見骨質疏鬆,末端呈現散在性不規則狀,因此診斷為維生素丁缺乏性佝僂症,以治療劑量的維生素丁及鈣片治療一年後,病兒的疼痛症及四肢畸形均有進步。 |
英文摘要 | Vitamin D deficiency rickets is rare among infants and children in the industrialized countries. In this paper, we report a 2-year-S-month-old girl with aching and bowed legs. A food allergy with atopic dermatitis was diagnosed since her early infancy. Strict dietary restrictions were done and she was mostly fed soybean juice and rice foods. Fortified soybean formula (Isomil) was introduced one month before admission. Vitamin D deficiency rickets was diagnosed by a history of inappropriate feeding, roentgenographic and laboratory findings. The therapeutic regimen included 1, 25-dihydroxycholecalciferol 0.5ug/day and calcium carbonate 100mg/kg/day. Extensive nutritional counseling was also given for correction of aberrant dietary practices. After a one-year follow-tip, there was radiological evidence of bone healing, and marked improvement of leg deformities. |
本系統中英文摘要資訊取自各篇刊載內容。