02 佝偻病+手足抽搐症幻灯片.pptVIP

Mellanby Edward(1918) “ no more campaign on rickets” etiology etiology etiology etiology etiology 8-month-old female child Exclusively breast-fed without vitamin supplement The mother did not receive any vitamins or calcium Presented with irritation and night sweating for 4 months Physical examination showed pulvinar bald(枕秃), cephalus quadratus（方颅）, without primary teeth erupion. Clinical diagnosis ? Question 1 Why？ Question 2 Why is that? Question 3: If in progress? If not recognized and properly treated, vitamin D deficiency may cause pain, fractures, skeletal deformity, growth retarda