Abstract
Regular biochemical measurements were made in 4 babies, each of whom had one parent with familial hypophosphataemic, hyperphosphaturic rickets. Hypophosphataemia developed by 2 months and levels of alkaline phosphatase had increased by 3 months in all four. Decreased tubular reabsorption of phosphate and x-ray changes of rickets did not develop until 6 months in 3 of the babies. In the fourth these abnormalities developed at 9 days and 3 months. The babies were treated with oral phosphate and small doses of 1-alpha-hydroxy-cholecalciferol. The rickets healed readily in 3 babies and their linear growth kis within the normal range. Healing took much longer in the remaining child and his linear growth is below the 3rd centile. Hypercalcaemia has not been a problem of treatment.
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Selected References
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- FRASER D., SALTER R. B. The diagnosis and management of the various types of rickets. Pediatr Clin North Am. 1958 May;:417–441. doi: 10.1016/s0031-3955(16)30659-9. [DOI] [PubMed] [Google Scholar]
- Moncrieff M. W., Chance G. W. Nephrotoxic effect of vitamin D therapy in vitamin D refractory rickets. Arch Dis Child. 1969 Oct;44(237):571–579. doi: 10.1136/adc.44.237.571. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schoen E. J. The question of normal height in patients with vitamin D-resistant rickets. JAMA. 1966 Feb 14;195(7):524–526. [PubMed] [Google Scholar]
- Seino Y., Shimotsuji T., Ishii T., Ishida M., Ikehara C., Yamaoka K., Yabuuchi H., Dokoh S. Treatment of hypophosphataemic vitamin D-resistant rickets with massive doses of 1 alpha-hydroxy-vitamin D3 during childhood. Arch Dis Child. 1980 Jan;55(1):49–53. doi: 10.1136/adc.55.1.49. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stickler G. B. Familial hypophosphatemic vitamin D resistant rickets. The neonatal period and infancy. Acta Paediatr Scand. 1969 May;58(3):213–219. doi: 10.1111/j.1651-2227.1969.tb04709.x. [DOI] [PubMed] [Google Scholar]