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Beslenmeye bağlı D vitamini eksikliği tanısı alan üç olgu: Raşitizm hala bir halk sağlığı sorunu

Three cases of nutritional vitamin D deficiency: rickets is still a public health problem

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DOI: 
doi:10.2399/tahd.10.104
Abstract (2. Language): 
Nutritional rickets develops as a consequence of inadequate intake of calcium and vitamin D with foods. Dark-skinned individuals, lack of sunlight exposure, solely breastfed infants are in risk population for rickets. Vitamin D 400 IU/day should be given to all infants under 1 year old for prevention from vitamin D deficiency. Although vitamin D supplementation has been recommended to all infants for protection from rickets by the Ministry of Health for the past five years, rickets still exists. In this case report, three infants of 6 months, 1 and 2 years old, diagnosed as rickets with different clinical symptoms (hypocalcaemic convulsion, skeletal deformities and hypocalcaemia) were presented.
Abstract (Original Language): 
Beslenmeye bağlı raşitizm, besin kaynaklarından yeterince kalsiyum ve D vitamini sağlanamaması sonucu gelişir. Cildi yeterince güneş ışığı alamayanlar, sadece anne sütü ile beslenen bebekler ve cilt rengi koyu olan kişiler raşitizme daha kolay yakalanırlar. D vitamini eksikliğinden korumak için, bir yaş altındaki tüm bebeklere günde 400 İU/gün D vitamini verilmelidir. Türkiye'de, Sağlık Bakanlığı, bir halk sağlığı sorunu olan raşitizme karşı beş yıl önce tüm bebeklere D vitamini desteği yapılmasını kararlaştırmıştır; buna rağmen, raşitizm görülmeye devam etmektedir. Burada, farklı klinik bulgularla (hipokalsemik konvülsiyon, iskelet deformitesi ve hi-pokalsemi) başvuran ve beslenmeye bağlı raşitizm tanısı konan 6 aylık, 1 ve 2 yaşındaki üç olgu sunulmuştur.
104-108

REFERENCES

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