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Journal of Tropical Pediatrics 1987 33(1):13-15; doi:10.1093/tropej/33.1.13
© 1987 by Oxford University Press
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Early Clinical Rickets and its Association with Malnutrition

M. A. Parent, MD, FCP(Paed), D Trop D, Paediatrician*,, S. Khadraoui, MD** and I. de Schampheleire, MD, D Gynecology, D Trop D*

* Projet Tuniso-Belge de Médecine Int{acute}egrée au Cap Bon Tunisia
** Institut National de Santé de l'Enfance Tunis, Tunisia

Correspondence: M. A. Parent, 15, av. Ernestine, B 1050, Bruxelles, Belgium.

A prospective study of health indicators in a cohort of 600 infants seen from birth to 2 years of age at a 4-monthly interval allowed the authors to identify the high prevalence (17.1 per cent) of clinical rickets in very young infants in Tunisia. A frequent association of clinical signs of rickets with malnutrition is also observed. The following aetiological factors are discussed: poor socio-economic family background, high parity, badly balanced maternal diet during pregnancy (with a high cereal content rich in phytates), prolonged breast-feeding, intra-uterine repeated infections.

In a comprehensive health programme, this study emphasizes the need for the integration of prenatal clinics, family planning activities, and under fives clinics. The administration of vitamin D late in the pregnancy or to the neonate is proposed.


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