Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
Login Abbonamenti Pubblicazioni Carrello Registrazione Perché registrarsi? Contatti

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.
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