000 | 02237cam a2200217 4500500 | ||
---|---|---|---|
005 | 20250112044229.0 | ||
041 | _afre | ||
042 | _adc | ||
100 | 1 | 0 |
_aNiang, Babacar _eauthor |
700 | 1 | 0 |
_a Ndongo, Aliou Abdoulaye _eauthor |
700 | 1 | 0 |
_a Sow, Amadou _eauthor |
700 | 1 | 0 |
_a Boiro, Djibril _eauthor |
700 | 1 | 0 |
_a Kéita, Younoussa _eauthor |
700 | 1 | 0 |
_a Sylla, Assane _eauthor |
245 | 0 | 0 | _aRickets in children at the Dakar University Hospital |
260 | _c2022. | ||
500 | _a10 | ||
520 | _aIn 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 seven years; it included all children under 15 years of age who were being monitored for rickets. During this period, 13 cases of rickets were identified, 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 six months–two years age range was the most representative at 46.1%. The mean age at diagnosis was two years (six months–five years). More than four out of five children (84.6%) were breastfed in their first six months of life. Skeletal abnormalities and gait disorders were the main clinical signs. Blood calcium was low in 76.9% of cases 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 Senegal, especially in infants. There is a need to implement national guidelines for routine vitamin D supplementation and to carry out regular awareness-raising activities about good dietary practices. | ||
786 | 0 | _nMédecine thérapeutique / Pédiatrie | 24 | 1 | 2022-01-01 | p. 56-60 | 1286-5494 | |
856 | 4 | 1 | _uhttps://shs.cairn.info/journal-medecine-therapeutique-pediatrie-2022-1-page-56?lang=en |
999 |
_c189919 _d189919 |