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Journal of Tropical Pediatrics 1999 45(5):291-293; doi:10.1093/tropej/45.5.291
© 1999 by Oxford University Press
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Nutritional rickets without vitamin D deficiency in Bangladesh

PR FischerA,Z, A RahmanB, JP CimmaC, TO Kyaw-MyintD, ARML KabirE, K TalukderE, N HassanF, BJ ManasterJ, DB StaabG, JM DuxburyH, RM WelchH, CA MeisnerI, S HaqueB and GF Combs, JrH

A Mayo Clinic, Rochester, Minnesota, USA B Society for Assistance and Rehabilitation of the Physically Vulnerable, Dhaka, Bangladesh C Amis des Enfants du Monde, Grenoble, France D UNICEF, Dhaka, Bangladesh E Institute of Child and Mother health, Dhaka, Bangladesh F University of Dhaka, Dhaka, Bangladesh G Memorial Christian Hospital, Chakaria, Bangladesh H Cornell University, Ithaca, NY, USA I International Maize and Wheat Improvement Center, Dhaka, Bangladesh J Virginia Commonwealth University, Richmond, Virginia, USA Z Corresponding author E-mail: fischer.phil@mayo.edu

To understand nutritional rickets in Bangladesh better, 14 rachitic and 13 'unaffected' children were evaluated. Seventy per cent of children with active rickets had no evidence of either vitamin D deficiency or familial rickets. Rickets in Bangladesh is probably related to calcium deficiency. Abnormalities in 'unaffected' children suggest that subclinical calcium insufficiency is common.


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