Percorsi clinici
La medicina “magica” che ti rimette in piedi
The "magic" medicine that gets you back on yuor feet
Giampiero I. Baroncelli1, Gianluigi Laccetta1, Aurora Giannoni1, Francesco Massei2
1UO di Pediatria 1, 22UO di Oncoematologia Pediatrica, Azienda Ospedaliero-Universitaria Pisana
Settembre 2016 - pagg. 445 -448
Abstract
Prolonged and exclusive breastfeeding without vitamin D supplements is a main determinant
of vitamin D deficiency rickets in children of immigrants living in Italy. Dark skin
may be an adjunctive factor for the development of rickets. Early signs and symptoms of
vitamin D deficiency rickets may be misleading mimicking a myopathy. In children with
vitamin D deficiency rickets low doses of vitamin D are efficacious and cost-effective,
and there is no indication to the administration of vitamin D active metabolites or very
high doses of vitamin D in this form of rickets. Paediatricians should check if the administration
of vitamin D supplements is regularly performed by parents mainly in children
with an increased risk of vitamin D deficiency.
Classificazione MeSH
Contenuto riservato
Per leggere l'articolo completo è necessario effettuare il login.
Non sei ancora registrato? Registrati
Bibliografia
1. Guala A, Guarino R, Ghiotti P, Patrucco G,
Pastore G. Il rachitismo in Piemonte: una sorveglianza
negli ospedali. Medico e Bambino
pagine elettroniche 2006;25:119-120.
2. Marrone G, Rosso I, Moretti R, Valent F, Romanello
C. Is vitamin D status known among
children living in Northern Italy? Eur J Nutr
2012;51:143-9.
3. Baroncelli GI, Vierucci F. Rachitismo da deficit
di vitamina D: indicazioni per la diagnosi e
la terapia. Ipovitaminosi D. Prevenzione e trattamento
nel neonato, nel bambino e nell’adolescente.
Mattioli Editore, 2011:99-121.
4. Ceglia L. Vitamin D and skeletal muscle tissue
and function. Mol Asp Med 2008;29:407-14.
5. Girgis CM, Clifton-Bligh RJ, Hamrick MW,
Holick MF, Gunton JE. The roles of vitamin D
in skeletal muscle: form, function, and metabolism.
Endocr Rev 2013;34:33-83.
6. Timms P, Bold AM, Rothe P, Lau E. Severe
hypocalcaemia and increased serum creatine
kinase activity. Br Med J 1985;291:937-8.
7. Hirata D, Nagashima T, Saito S, Okazaki H,
Kano S, Minota S. Elevated muscle enzymes
in a patient with severe hypocalcemia mimicking
polymyositis. Mod Rheumatol 2002;
12:186-9.
8. Elidrissy ATH, Zolali MA, Hawsawi ZM.
Anemia in infants with vitamin D deficiency
rickets: a single center experience and literature
review. J App Hemat 2012;3:39-43.
9. Sim JJ, Lac PT, Liu ILA, et al. Vitamin D deficiency
and anemia: a cross-sectional study.
Ann Hematol 2010;89:447-52.
10. Zughaier SM, Alvarez JA, Sloan JH, Konrad
RJ, Tangpricha V. The role of vitamin D in
regulating the iron-hepcidin-ferroportin axis
in monocytes. J Clin Transl Endocrinol 2014;
1:e19-e25.
11. Yetgin S, Ozsoylu S, Ruacan S, Tekinalp G,
Sarialio lu F. Vitamin D-deficiency rickets and
myelofibrosis. J Pediatr 1989;114:213-7.
12. Balkan C, Ersoy B, Nese N. Myelofibrosis
associated with severe vitamin D deficiency
rickets. J Int Med Res 2005;33:356-9.
13. Godel JC, Hart AG. Northern infants syndrome:
a deficiency state? Can Med Assoc J
1984;131:199-204.
14. von Jaksch R. Quoted by Baar H, Stransky
E. Die Klinische Hamatologie des Kindersalters,
FranzDeuticke. Leipzig, 1928.
15. Luzet C. Etude sur l’anémie de la première
enfance et sur l’anémie enfantile pseudoleucemique.
These, Université de Paris, 1891.
16. Misra M, Pacaud D, Petryk A, Collett-Solberg
PF, Kappy M; Drug and Therapeutics
Committee of the Lawson Wilkins Pediatric
Endocrine Society. Vitamin D deficiency in
children and its management: review of current
knowledge and recommendations. Pediatrics
2008;122:398-417.
17. Baroncelli GI, Bertelloni S, Vierucci F. Hypocalcemia
due to vitamin D deficiency: is calcitriol
treatment really required? Pediatrics
2009; eLetter March 19.
18. Marella EMG, Tagliati S, Brachi S, et al. Vitamina
D. È indispensabile ma non esageriamo.
Medico e Bambino pagine elettroniche 2013;
16(8). http://www.medicoebambino.com/?id=
CCO1308_10.html.
Corrispondenza: g.baroncelli@med.unipi.it
