Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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7개월간 선식만 먹인 영아에서 발생한 구루병 1례

A Case of Rickets Developed after Feeding on Sunsik for Seven Months

  • 양정아 (포천중문의과대학 소아과학교실) ;
  • 장경아 (포천중문의과대학 소아과학교실) ;
  • 박혜원 (포천중문의과대학 소아과학교실) ;
  • 장욱 (포천중문의과대학 소아과학교실) ;
  • 한만용 (포천중문의과대학 소아과학교실) ;
  • 조영아 (포천중문의과대학 방사선과학교실) ;
  • 이은 (포천중문의과대학 영양과)
  • Yang, Jeong-A (Department of Pediatrics, Bundang CHA General Hospital, College of Medicine, Pochon CHA University) ;
  • Jang, Kyung-A (Department of Pediatrics, Bundang CHA General Hospital, College of Medicine, Pochon CHA University) ;
  • Park, Hye-Won (Department of Pediatrics, Bundang CHA General Hospital, College of Medicine, Pochon CHA University) ;
  • Jang, Wook (Department of Pediatrics, Bundang CHA General Hospital, College of Medicine, Pochon CHA University) ;
  • Han, Man-Yong (Department of Pediatrics, Bundang CHA General Hospital, College of Medicine, Pochon CHA University) ;
  • Cho, Young-A (Department of Radiology, Bundang CHA General Hospital, College of Medicine, Pochon CHA University) ;
  • Lee, Eun (Department of Nutrition, Bundang CHA General Hospital, College of Medicine, Pochon CHA University)
  • 투고 : 2003.07.15
  • 심사 : 2003.09.15
  • 발행 : 2003.11.15
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초록

저자들은 아토피 피부염 조절을 위해 7개월간 선식만 먹고 발생한 구루병 1례를 경험하여 근래에 대두되고 있는 영양식의 실태와 문제점을 살펴보고자 문헌 고찰과 함께 보고하는 바이다.

Rickets is a nutritional disorder which is caused either by deficiency of vitamin D or by a defective activation of vitamin D. In these days, even though the incidence of rickets has decreased through adequate nutritional support, we sometimes experience rickets in babies receiving a prolonged special diet as therapy for chronic diarrhea, or those subject to a in receiving the prolonged elimination of milk because of allergy. But there are no reports about rickets caused by absolute elimination of milk because of allergies in Korea. We report here a case of rickets developed after feeding on Sunsik( a mixture of several grain and fruits powder) during a seven months period in an 8-month-old male patient. This male infant manifested vomiting, poor feeding, decreased serum calcium and 25-hydroxycholecalciferol levels, and markedly increased serum alkaline phosphatase and parathyroid hormone levels. Skeletal X-rays showed cupping and fraying in distal metaphyses of radius and ulna, and generalized osteopenia. The patient improved with vitamin D and calcium therapy.

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