Vitamin D deficiency rickets and allegations of non-accidental injury
Vitamin D deficiency rickets has long been recognized as a cause of fractures and fracture‐like appearances in young children. Often seen in the early 20th century, rickets has recently been regarded as uncommon; the radiological appearances, familiar to previous generations, may not be recognized f...
Gespeichert in:
Veröffentlicht in: | Acta Paediatrica 2009-12, Vol.98 (12), p.2008-2012 |
---|---|
1. Verfasser: | |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 2012 |
---|---|
container_issue | 12 |
container_start_page | 2008 |
container_title | Acta Paediatrica |
container_volume | 98 |
creator | Paterson, Colin R |
description | Vitamin D deficiency rickets has long been recognized as a cause of fractures and fracture‐like appearances in young children. Often seen in the early 20th century, rickets has recently been regarded as uncommon; the radiological appearances, familiar to previous generations, may not be recognized for what they are.
This article reports four children with unexplained fractures initially attributed confidently to non‐accidental injury. In each case, the later evidence of vitamin D deficiency led to a reconsideration of that diagnosis.
Conclusion: It is important to be aware of this bone disorder in the differential diagnosis of fractures, to investigate appropriately and to recognize that the radiological appearances may be misleading. A mistaken diagnosis of abuse does real harm, not least to the child itself. |
doi_str_mv | 10.1111/j.1651-2227.2009.01407.x |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733840868</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733840868</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4367-e920bf81d636bfd0dadbdc49a7004bdd3888a269c2c9ba7e3e019dde46048b703</originalsourceid><addsrcrecordid>eNqNkE1v2yAYgFG1qU0__kLFpdrJ3gvYfBx2iNKvSVU3ad12RBjwROrgFhwt-fe1lyi7lgtIPA8vehDCBEoyrs_LkvCaFJRSUVIAVQKpQJSbIzQ7XHxAM5DAiprW7ASd5rwEoExV_BidEFULqhTM0M2vMJhViPgaO98GG3y0W5yCffZDxiY6bLrO_zFD6GPGfYtjHwtjbXA-DqbDIS7XaXuOPramy_5iv5-hn7c3T4v74uHb3dfF_KGwFeOi8IpC00riOONN68AZ1zhbKSMAqsY5JqU0lCtLrWqM8MwDUc75ikMlGwHsDH3avfuS-te1z4NehWx915no-3XWgjFZgeRyJOWOtKnPOflWv6SwMmmrCeipoV7qKZWeUumpof7XUG9G9XI_ZN2svPsv7qONwNUeMNmark0m2pAPHKWEEiXFyH3ZcX9D57fv_oCef59Pp9Evdn7Ig98cfJOeNRdM1Pr3452WC7j-wRZK37M37q6bgg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>733840868</pqid></control><display><type>article</type><title>Vitamin D deficiency rickets and allegations of non-accidental injury</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Alma/SFX Local Collection</source><creator>Paterson, Colin R</creator><creatorcontrib>Paterson, Colin R</creatorcontrib><description>Vitamin D deficiency rickets has long been recognized as a cause of fractures and fracture‐like appearances in young children. Often seen in the early 20th century, rickets has recently been regarded as uncommon; the radiological appearances, familiar to previous generations, may not be recognized for what they are.
This article reports four children with unexplained fractures initially attributed confidently to non‐accidental injury. In each case, the later evidence of vitamin D deficiency led to a reconsideration of that diagnosis.
Conclusion: It is important to be aware of this bone disorder in the differential diagnosis of fractures, to investigate appropriately and to recognize that the radiological appearances may be misleading. A mistaken diagnosis of abuse does real harm, not least to the child itself.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/j.1651-2227.2009.01407.x</identifier><identifier>PMID: 19572990</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Biological and medical sciences ; Child ; Child abuse ; Child Abuse - diagnosis ; Child, Preschool ; Diagnostic Errors ; Female ; Foster Home Care ; Fractures ; Fractures, Bone - diagnostic imaging ; Fractures, Bone - etiology ; General aspects ; Humans ; Infant ; Male ; Medical sciences ; Metabolic diseases ; Non-accidental injury ; Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Radiography ; Rickets ; Rickets - complications ; Rickets - diagnosis ; Victimology ; Vitamin D - therapeutic use ; Vitamin D deficiency ; Vitamin D Deficiency - complications</subject><ispartof>Acta Paediatrica, 2009-12, Vol.98 (12), p.2008-2012</ispartof><rights>2009 The Author(s)/Journal Compilation © 2009 Foundation Acta Pædiatrica</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4367-e920bf81d636bfd0dadbdc49a7004bdd3888a269c2c9ba7e3e019dde46048b703</citedby><cites>FETCH-LOGICAL-c4367-e920bf81d636bfd0dadbdc49a7004bdd3888a269c2c9ba7e3e019dde46048b703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1651-2227.2009.01407.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1651-2227.2009.01407.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22121987$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19572990$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paterson, Colin R</creatorcontrib><title>Vitamin D deficiency rickets and allegations of non-accidental injury</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Vitamin D deficiency rickets has long been recognized as a cause of fractures and fracture‐like appearances in young children. Often seen in the early 20th century, rickets has recently been regarded as uncommon; the radiological appearances, familiar to previous generations, may not be recognized for what they are.
This article reports four children with unexplained fractures initially attributed confidently to non‐accidental injury. In each case, the later evidence of vitamin D deficiency led to a reconsideration of that diagnosis.
Conclusion: It is important to be aware of this bone disorder in the differential diagnosis of fractures, to investigate appropriately and to recognize that the radiological appearances may be misleading. A mistaken diagnosis of abuse does real harm, not least to the child itself.</description><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child abuse</subject><subject>Child Abuse - diagnosis</subject><subject>Child, Preschool</subject><subject>Diagnostic Errors</subject><subject>Female</subject><subject>Foster Home Care</subject><subject>Fractures</subject><subject>Fractures, Bone - diagnostic imaging</subject><subject>Fractures, Bone - etiology</subject><subject>General aspects</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Non-accidental injury</subject><subject>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Radiography</subject><subject>Rickets</subject><subject>Rickets - complications</subject><subject>Rickets - diagnosis</subject><subject>Victimology</subject><subject>Vitamin D - therapeutic use</subject><subject>Vitamin D deficiency</subject><subject>Vitamin D Deficiency - complications</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1v2yAYgFG1qU0__kLFpdrJ3gvYfBx2iNKvSVU3ad12RBjwROrgFhwt-fe1lyi7lgtIPA8vehDCBEoyrs_LkvCaFJRSUVIAVQKpQJSbIzQ7XHxAM5DAiprW7ASd5rwEoExV_BidEFULqhTM0M2vMJhViPgaO98GG3y0W5yCffZDxiY6bLrO_zFD6GPGfYtjHwtjbXA-DqbDIS7XaXuOPramy_5iv5-hn7c3T4v74uHb3dfF_KGwFeOi8IpC00riOONN68AZ1zhbKSMAqsY5JqU0lCtLrWqM8MwDUc75ikMlGwHsDH3avfuS-te1z4NehWx915no-3XWgjFZgeRyJOWOtKnPOflWv6SwMmmrCeipoV7qKZWeUumpof7XUG9G9XI_ZN2svPsv7qONwNUeMNmark0m2pAPHKWEEiXFyH3ZcX9D57fv_oCef59Pp9Evdn7Ig98cfJOeNRdM1Pr3452WC7j-wRZK37M37q6bgg</recordid><startdate>200912</startdate><enddate>200912</enddate><creator>Paterson, Colin R</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200912</creationdate><title>Vitamin D deficiency rickets and allegations of non-accidental injury</title><author>Paterson, Colin R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4367-e920bf81d636bfd0dadbdc49a7004bdd3888a269c2c9ba7e3e019dde46048b703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child abuse</topic><topic>Child Abuse - diagnosis</topic><topic>Child, Preschool</topic><topic>Diagnostic Errors</topic><topic>Female</topic><topic>Foster Home Care</topic><topic>Fractures</topic><topic>Fractures, Bone - diagnostic imaging</topic><topic>Fractures, Bone - etiology</topic><topic>General aspects</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Non-accidental injury</topic><topic>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Radiography</topic><topic>Rickets</topic><topic>Rickets - complications</topic><topic>Rickets - diagnosis</topic><topic>Victimology</topic><topic>Vitamin D - therapeutic use</topic><topic>Vitamin D deficiency</topic><topic>Vitamin D Deficiency - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paterson, Colin R</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paterson, Colin R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vitamin D deficiency rickets and allegations of non-accidental injury</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2009-12</date><risdate>2009</risdate><volume>98</volume><issue>12</issue><spage>2008</spage><epage>2012</epage><pages>2008-2012</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>Vitamin D deficiency rickets has long been recognized as a cause of fractures and fracture‐like appearances in young children. Often seen in the early 20th century, rickets has recently been regarded as uncommon; the radiological appearances, familiar to previous generations, may not be recognized for what they are.
This article reports four children with unexplained fractures initially attributed confidently to non‐accidental injury. In each case, the later evidence of vitamin D deficiency led to a reconsideration of that diagnosis.
Conclusion: It is important to be aware of this bone disorder in the differential diagnosis of fractures, to investigate appropriately and to recognize that the radiological appearances may be misleading. A mistaken diagnosis of abuse does real harm, not least to the child itself.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19572990</pmid><doi>10.1111/j.1651-2227.2009.01407.x</doi><tpages>5</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0803-5253 |
ispartof | Acta Paediatrica, 2009-12, Vol.98 (12), p.2008-2012 |
issn | 0803-5253 1651-2227 |
language | eng |
recordid | cdi_proquest_miscellaneous_733840868 |
source | MEDLINE; Access via Wiley Online Library; Alma/SFX Local Collection |
subjects | Biological and medical sciences Child Child abuse Child Abuse - diagnosis Child, Preschool Diagnostic Errors Female Foster Home Care Fractures Fractures, Bone - diagnostic imaging Fractures, Bone - etiology General aspects Humans Infant Male Medical sciences Metabolic diseases Non-accidental injury Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Radiography Rickets Rickets - complications Rickets - diagnosis Victimology Vitamin D - therapeutic use Vitamin D deficiency Vitamin D Deficiency - complications |
title | Vitamin D deficiency rickets and allegations of non-accidental injury |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T20%3A33%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Vitamin%20D%20deficiency%20rickets%20and%20allegations%20of%20non-accidental%20injury&rft.jtitle=Acta%20Paediatrica&rft.au=Paterson,%20Colin%20R&rft.date=2009-12&rft.volume=98&rft.issue=12&rft.spage=2008&rft.epage=2012&rft.pages=2008-2012&rft.issn=0803-5253&rft.eissn=1651-2227&rft_id=info:doi/10.1111/j.1651-2227.2009.01407.x&rft_dat=%3Cproquest_cross%3E733840868%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=733840868&rft_id=info:pmid/19572990&rfr_iscdi=true |