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library name : انستیتو تغذیه دانشگاه علوم پزشکی شهید بهشتی
Material Type : Latin Articles
Language of Document : English
Record Number : 61912
Doc. No : 567A
Main Entry : RAFII M.
Title & Author : RICKETS IN BREAST-FED INFANTS BELOW SIX MONTHS OF AGE WITHOUT VITAMIN D SUPPLEMENTATION IN TEHRAN [Article]
Title : ARCHIVES OF IRANIAN MEDICINE
Volume Number : , Vol.4 ؛ No.2
Date : , (2001)
page : : 93 - 95
Abstract : Background and Objectives-Although breast-feeding is highly appraised and widely practiced in Iran, human milk supplies all necessary nutrients except a few including vitamin D. Despite abundance of sunshine, vitamin D deficiency rickets is not rare in Iran. Methods-In a retrospective study, the medical records of all patients with rickets admitted to Bahrami Childrenعs Hospital in a 16-year )March 1982-1998( period who were below 6 months of age and not receiving vitamin D supplementation, were reviewed. Result-Forty-one cases of rickets less than 6 months of age without a history of vitamin D supplementation were detected. Convulsion was the most common presenting feature. Rachitic rosary and widening of the wrists were present in one-third of the cases while a quarter showed craniotabes. Ninety-five percent of the patients belonged to the lower socioeconomic class. Vaccination was not performed or was delayed and incomplete in 21 cases. Conclusion-Early occurrence and presence of rickets in breast-fed infants below six months of age with no vitamin D supplementation is documented in Iran. Health professionals should be informed of this risk and should supervise the oral administration of vitamin D in breast-fed infants and other measures, including sunlight exposure and vitamin supplementation in lactating mothers, should be encouraged.
Descriptor : BREAST-FEEDING دع RICKETS دع VITAMIN
 
 
 
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