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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1980-2-26
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pubmed:abstractText |
Nutritional, racial, cultural, and environmental factors have combined to produce a resurgence of vitamin D deficiency rickets in urban Philadelphia. Between January 1974 and June 1978, 24 cases were diagnosed at the Children's Hospital of Philadelphia. Patients' ages ranged from 4 to 58 months. Presenting complaints included seizures, swollen wrists, pathologic fractures, and developmental regression. Sixteen patients were below the third percentile for length and weight. Laboratory results indicated vitamin D deficiency in nursing mothers as well as in infants. All infants had been breast-fed and all were black. Ingestion of vitamin D was limited by exclusion of meat and/or dairy products in 21, and no infants had consistently taken supplemental vitamins. Nineteen were members of Muslim or Seventh Day Adventist faiths. Endogenous synthesis of vitamin D was limited by dark skin, by dressing in long garments with hoods and veils, and by air pollution in a densely populated northern city. The return to a more "natural" diet, free of food additives, has been accompanied by the return of a classic disease of industrial society. Effective management required patience and respect for religious convictions. With treatment, there was correction of chemical and skeletal abnormalities, but few patients showed catch-up growth.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0031-4005
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
64
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
871-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:574626-African Americans,
pubmed-meshheading:574626-Animals,
pubmed-meshheading:574626-Breast Feeding,
pubmed-meshheading:574626-Cattle,
pubmed-meshheading:574626-Child, Preschool,
pubmed-meshheading:574626-Disease Outbreaks,
pubmed-meshheading:574626-Disease Susceptibility,
pubmed-meshheading:574626-Female,
pubmed-meshheading:574626-Food Habits,
pubmed-meshheading:574626-Humans,
pubmed-meshheading:574626-Infant,
pubmed-meshheading:574626-Islam,
pubmed-meshheading:574626-Male,
pubmed-meshheading:574626-Milk,
pubmed-meshheading:574626-Pennsylvania,
pubmed-meshheading:574626-Rickets,
pubmed-meshheading:574626-Urban Population,
pubmed-meshheading:574626-Vitamin D
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pubmed:year |
1979
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pubmed:articleTitle |
An outbreak of vitamin D deficiency rickets in a susceptible population.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Case Reports
|