Evaluation of the patients with congenital rickets

Abstract

Introduction: The present study aims to evaluate the clinical findings and biochemical properties of the patients who were followed up in the neonatal intensive care unit due to congenital rickets. Methods: The data of patients who were followed up in our neonatal intensive care unit between March 2015 and March 2020 due to congenital rickets were analyzed retrospectively from the patient’s files and registration forms. The findings of physical examination and biochemical tests of the patients were recorded at the time of admission. Results: Six patients were included in this study. Four of the patients were girls. The mean age of application was 19±6 days. All patients were admitted with convulsion. The average calcium at the first application was 5.5±0.7 mg/dL; ionized calcium 0.7±0.02 mmol/L; phosphorus 6.9±1.2 mg/dL; alkaline phosphatase 747±148 U/L; parathyroid hormone 265±40 pg/mL and mean 25-OH vitamin D 3.4±0.4 ng/mL. All cases were hospitalized and treated and diagnosed with congenital rickets. Discussion and Conclusion: Despite vitamin D prophylaxis, rickets can still be seen in our country. With this study, we aimed to draw attention to the significance of vitamin D prophylaxis.