Les rachitismes de l’enfant au Centre Hospitalier Universitaire de Dakar (notice n° 756860)
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| fixed length control field | 04240cam a2200349 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250123100626.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Niang, Babacar |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Les rachitismes de l’enfant au Centre Hospitalier Universitaire de Dakar |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2022.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 42 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Résumé Dans les pays en développement, les rachitismes carentiels sont les principales causes de rachitismes. Au Sénégal, il n’existe aucune directive nationale concernant la supplémentation en vitamine D. L’objectif de ce travail était de déterminer le profil épidémiologique, diagnostique et le pronostic des rachitismes de l’enfant. Il s’agit d’une étude rétrospective réalisée sur 7 ans et ayant inclus tous les enfants de moins de 15 ans suivis pour rachitisme. Durant cette période, 13 cas de rachitismes ont été colligés, représentant 3,1 % des pathologies endocriniennes (dysthyroïdies, troubles de puberté, troubles de la croissance, anomalies du développement sexuel, diabète) et 0,4 % des hospitalisations. Le sex-ratio M/F était de 0,8. La tranche d’âge [6 mois-2 ans] était la plus représentative 46,1 %. L’âge moyen au diagnostic était de 2 ans [6 mois-5 ans]. Plus de 4 enfants sur 5 (84,6 %) ont eu un allaitement maternel dans leurs 6 premiers mois de vie. Les anomalies du squelette et les troubles de la marche étaient les principaux signes cliniques. La calcémie était basse dans 76,9 % de même que la phosphorémie dans 92,3 %. La vitamine D3 sanguine était basse dans 100 % des cas avec une moyenne de 13,2 ng/mL. Le rachitisme était carentiel (46,1 %), vitamino-résistant type 2 (38,5 %) ou secondaire à une maladie rénale chronique (15,4 %). Les rachitismes carentiels restent la principale cause de rachitisme dans notre pays, surtout chez les nourrissons. Il est nécessaire de mettre en œuvre des directives nationales de supplémentation systématique en vitamine D et de sensibiliser régulièrement la population à une bonne pratique de l’alimentation. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | In developing countries, deficiency rickets are the main cause of rickets. In Senegal, there are no national guidelines for vitamin D supplementation. The objective of this study was to determine the epidemiological profile, diagnosis and prognosis of rickets in children. This was a retrospective study carried out over 7 years and included all children under 15 years of age who were being followed for rickets. During this period, 13 cases of rickets were collected, representing 3.1% of endocrine pathologies (dysthyroidism, puberty disorders, growth disorders, sexual development abnormalities, diabetes) and 0.4% of hospitalizations. The M/F sex ratio was 0.8. The age range [6 months-2 years] was the most representative 46.1%. The mean age at diagnosis was 2 years [6 months-5 years]. More than 4 out of 5 children (84.6%) were breastfed in their first 6 months of life. Skeletal abnormalities and gait disorders were the main clinical signs. Blood calcium was low in 76.9 % and blood phosphorus in 92.3 %. Blood vitamin D3 was low in 100% of cases with a mean of 13.2 ng/mL. The rickets were either deficiency rickets (46.1%), vitamin resistant type 2 rickets (38.5 %) or rickets secondary to chronic renal disease (15.4%). Deficiency rickets remains the main cause of rickets in our country, especially in infants. There is a need to implement national guidelines for routine vitamin D supplementation and to raise awareness of good dietary practices on a regular basis. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | carence |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | vitamine D |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | rachitismes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Sénégal |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | enfants |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | rickets |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | vitamin d |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | children |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | deficiency |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Senegal |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ndongo, Aliou Abdoulaye |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Sow, Amadou |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Boiro, Djibril |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Kéita, Younoussa |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Sylla, Assane |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Médecine thérapeutique / Pédiatrie | 24 | 1 | 2022-01-01 | p. 56-60 | 1286-5494 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-medecine-therapeutique-pediatrie-2022-1-page-56?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-medecine-therapeutique-pediatrie-2022-1-page-56?lang=fr&redirect-ssocas=7080</a> |
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