Læknablaðið - 15.09.2011, Page 28

Y F I R L I T
að D-vítamínbæta matvörur en það er algengt í öðrum löndum.10
Þetta tilfelli undirstrikar mikilvægi D-vítamínuppbótar, ekki síst
hjá ungum börnum. Heilbrigðisstarfsmenn þurfa að hafa beinkröm
og D-vítamínskort í huga, sérstaklega hjá börnum sem þrífast illa
og hjá börnum með fæðuofnæmi. Hægt er að koma í veg fyrir
beinkröm hjá bömum með góðu eftirliti á heilsugæslustöðvum,
reglubundinni kennslu heilbrigðisstarfsmanna og góðri fræðslu til
foreldra og forráðamanna barna um mikilvægi D-vítamínuppbótar.
Heimildir
1. Misra M, Pacaud D, Petryk A, Collett-Solberg PF, Kappy
M. Vitamin D deficiency in children and its management:
review of current knowledge and recommendations.
Pediatrics 2008; 122:398-417.
2. Pedersen JI. Vitamin D requirement and setting
recommendation levels - current Nordic view. Nutr Rev
2008; 66(10 Suppl 2): S165-9.
3. Gartner LM, Greer FR. Prevention of rickets and vitamin
D deficiency: new guidelines for vitamin D intake.
Pediatrics 2003; 111:908-10.
4. Þórsdóttir I, Gunnarsdóttir I. D-vítamín í fæði ungra ís-
lenskra barna. Læknablaðið 2005; 91: 581-6.
5. Wilton P. Cod-liver oil, vitamin D and the fight against
rickets. CMAJ 1995; 152:1516-7.
6. Holick MF. The vitamin D epidemic and its health
consequences. J Nutr 2005; 135: 2739S-48S.
7. Cranney A, Horsley T, O'Donnell S, et al. Effectiveness
and safety of vitamin D in relation to bone health. Evid
Rep Technol Assess (Full Rep) 2007; 158:1-235.
8. Zhang R, Naughton DP. Vitamin D in health and disease:
current perspectives. Nutr J 2010; 9: 65.
9. Gunnarsson Ö, Indriðason ÓS, Franzson L, Halldórsdóttir
E, Sigurðsson G. D-vítamínbúskapur fullorðinna íslend-
inga. Læknablaðið 2004; 90: 29-36.
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in the United States and Canada: current status and data
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ENGLISH SUMMARY
Rickets in a child
Kristinsdóttir H, Jónasdóttir S, Björnsson S, Lúðvígsson P
Vitamin D is necessary for normal bone growth. Deficiency of vitamin D can lead to rickets in children and osteomalacia in adults. It is difficult to reach the
recommended daily dose of vitamin D in children without cod liver oil or other vitamin D supplementation. Several cases of rickets have been diagnosed in
lceland the past few years. Studies suggest a worldwide increase in the prevalence of the disorder.
We report on a girl who was diagnosed with rickets at the age of 27 months. She received inadequate amounts of vitamin D supplementation in the
form of AD drops and cod liver oil. Because of food allergy she was on a restricted diet which limited her intake of dietary vitamin D. After diagnosis, she
received a high-dose vitamin D therapy (Stoss therapy) which corrected the deficiency.
Key words: rickets, food allergy, vitamin D.
Correspondence: Pétur Lúðvigsson, peturl@l3ndspltali.is
480 LÆKNAblaöið 2011/97