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What Is Rickets In Adults

 
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MessagePosté le: Sam 9 Juil - 21:32 (2016)    Sujet du message: What Is Rickets In Adults Répondre en citant




What Is Rickets In Adults > urlin.us/36433

























































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We,,,comply,,,with,,,the,,,HONcode,,,standard,,,for,,,trustworthy,,,health,,,information:,,,verify,,,here.,,,Related,Topics,Herbal,Medicine,.,Simple,,,blood,,,tests,,,for,,,levels,,,of,,,calcium,,,,phosphate,,,and,,,alkaline,,,phosphatase,,,are,,,often,,,helpful,,,in,,,pointing,,,to,,,osteomalacia,,,in,,,adults.,,,A,,daily,,dose,,of,,400,,IU,,(10,,micrograms),,prevents,,simple,,vitamin,,D,,deficiency,,in,,otherwise,,healthy,,adults,,at,,risk,,of,,deficiency,,(those,,adults,,at,,high,,risk,,of,,vitamin,,D,,deficiency,,may,,require,,higher,,doses,,-,,eg,,,800,,IU,,daily).Early,,diagnosis,,and,,treatment,,of,,potential,,causes,,such,,as,,intestinal,,malabsorption,,or,,chronic,,kidney,,disease.In,,February,,2012,,the,,Chief,,Medical,,Officers,,for,,the,,United,,Kingdom,,issued,,the,,following,,recommendations:[18]All,,pregnant,,and,,breast-feeding,,women,,should,,take,,a,,daily,,supplement,,containing,,10,,micrograms,,of,,vitamin,,D,,,to,,ensure,,the,,mother's,,requirements,,for,,vitamin,,D,,are,,met,,and,,to,,build,,adequate,,fetal,,stores,,for,,early,,infancy.All,,infants,,and,,young,,children,,aged,,6,,months,,to,,5,,years,,should,,take,,a,,daily,,supplement,,containing,,vitamin,,D,,in,,the,,form,,of,,vitamin,,drops,,,to,,help,,them,,meet,,the,,requirement,,set,,for,,this,,age,,group,,of,,7-8.5,,micrograms,,of,,vitamin,,D,,per,,day.,,Who,,is,,at,,risk,,of,,vitamin,,D,,deficiency?.,,The,highest,rates,were,found,in,Scotland,,Northern,England,and,Northern,Ireland.[6]One,study,found,the,prevalence,of,rickets,in,non-Caucasian,children,to,be,1.6%.[8]Risk,factorsDark,skin,,especially,South,Asian,,African-Caribbean,and,Middle,Eastern;,prevalence,of,vitamin,D,insufficiency,is,as,high,as,94%,in,otherwise,healthy,South,Asian,adults.[9]Children,and,those,aged,over,65,years.Pregnancy.ObesityRoutine,covering,of,the,face,and,body,-,eg,,wearing,a,veil.An,infant,who,is,exclusively,breast-fed,,particularly,beyond,six,months,of,age.[6]Housebound,or,institutionalised.Poverty.Vegetarianism.Alcoholism.Living,in,countries,at,high,latitude.Family,history,of,vitamin,D,deficiency.[6]Causes[10][11]Vitamin,D,deficiency,is,most,often,caused,by,insufficient,exposure,to,sunlight,and,nutritional,deficiency,but,can,be,secondary,to,a,wide,range,of,other,underlying,causes,,such,as,disorders,of,the,gut,,pancreas,,liver,and,kidney.Gastrointestinal,malabsorption:,eg,,surgery,(stomach,and,bowel,resections),,other,causes,of,short,bowel,syndrome,,chronic,pancreatic,disease,,cystic,fibrosis,,biliary,disease,(eg,,primary,biliary,cirrhosis,,biliary,fistulae,,biliary,atresia),,Crohn's,disease,and,coeliac,disease.Liver,disease,-,eg,,cirrhosis.Renal,disease,causing,defective,1,25-dihydroxyvitamin,D,synthesis.Drug,causes,include,anticonvulsants,(particularly,phenytoin,,carbamazepine,,phenobarbital),,rifampicin,,highly,active,antiretroviral,therapy,(HAART),,colestyramine,and,cadmium.Severe,dietary,calcium,deficiency,can,cause,rickets,despite,adequate,vitamin,D.Rare,causes:Hypophosphataemia:,tumour-induced,,Fanconi's,syndrome,,phosphate,depletion,,metals,such,as,cadmium,and,lead,that,may,lead,to,renal,phosphate,wasting.Systemic,acidosis,,renal,tubular,acidosis.Intoxication,with,diphosphonate,,fluoride,,aluminum,(caused,by,excessive,antacid,ingestion,,or,in,fluids,used,in,dialysis).Autonomous,hyperparathyroidism,presenting,as,vitamin,D-deficient,osteomalacia.Mesenchymal,tumour,-,oncogenic,osteomalacia.Genetic,causes:Hypophosphataemic,rickets:,X-linked,dominant,disorder,characterised,by,growth,restriction,,inadequate,mineralisation,of,bone,,hypophosphataemia,and,renal,defects,in,phosphate,reabsorption,and,vitamin,D,metabolism.Vitamin,D-dependent,rickets,type,I,(failure,of,conversion,of,25-hydroxyvitamin,D,(25-OHD),to,1,25-dihydroxyvitamin,D),and,II,(end-organ,insensitivity,to,1,25-dihydroxyvitamin,D).Adult-onset,vitamin,D-resistant,hypophosphataemic,osteomalacia,(autosomal,dominant).Proximal,renal,tubule,dysfunction:,hereditary,Fanconi's,syndrome.Presentation[6]Maintain,a,high,index,of,clinical,suspicion.,PatientPlus,Hypophosphataemia,Hyperparathyroidism,Read,more,articles,RicketsClassic,presentation,is,a,child,with,bony,abnormalities,such,as,leg-bowing,and,knock,knees.,

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