Raquitismo Hipofosfatêmico: Relato De Caso

Maia, Marta Liliane de Almeida; Abreu, Ana L.S.; Nogueira, Paulo Roberto; Val, Maria Luiza Dautro Moreira do; Carvalhaes, João Tomás de Abreu; Andrade, Maria Cristina de

doi:10.1590/1984-0462/;2018;36;2;00009

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…Most clinical signs related to hypophosphatemia were significantly improved, including painful bones and joints, especially on the lower extremities, inability to walk correctly, and improvement of his serum biochemical parameters and hematological tests, especially phosphate level, were found. The same findings were seen in other case studies such as Maia et al 2018 57 ; Sarat et al 2016 58 ; and Radlović et al, 2014 54 . The medications (phosphate and active vitamin D supplementations) also improved his PCV and Hb.…”

Section: Discussionsupporting

confidence: 85%

X-Linked Familial Hypophosphatemia: A Case Report of 27-Year Old Male and Review of Literature

Abdullah,

Mahwi,

Mohamad Salih Saeed

et al. 2023

Horm Metab Res

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X-linked hypophosphatemia (XLH) associated with short stature during childhood are mostly referred to the hospital and diagnosed as vitamin D deficiency rickets and received vitamin D before adulthood. A case is presented with clinical features of hypophosphatemia from childhood who did not seek medical care for diagnosis and treatment, nor did his mother or two brothers, who have short statures, bone pain, and fractures. The patient was assessed for sociodemographic, hematological, and biochemical parameters together with a genetic assessment. A DEXA scan and X-ray were done to determine the abnormalities and deformities of joints and bones despite clinical examination by an expert physician. All imaging, laboratory parameters, and the genetic study confirmed the diagnosis of XLH. A detailed follow-up of his condition was performed after the use of phosphate tablets and other treatments. X-linked hypophosphatemia needs a good assessment, care, and follow up through a complementary medical team including several specialties. Phosphate tablets in adulthood significantly affects clinical and physical improvement and prevention of further skeletal abnormality and burden on daily activity. The patients should be maintained with an adequate dose of phosphate for better patient compliance. More awareness is needed in society and for health professionals when conducting medical checkups during the presence of stress fractures, frequent dental and gum problems, rickets, short stature, or abnormality in the skeleton or walking to think of secondary causes such as hypophosphatemia. Further investigations including a visit to a specialist is imperative to check for the primary cause of these disturbances.

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Section: Discussionsupporting

confidence: 85%

X-Linked Familial Hypophosphatemia: A Case Report of 27-Year Old Male and Review of Literature

Abdullah,

Mahwi,

Mohamad Salih Saeed

et al. 2023

Horm Metab Res

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“…Thus, the conception of a slow onset of hypophosphatemic rickets in poultry may hinder the timely diagnosis of this syndrome by veterinarians and nutritionists. As early identification of a nutrient deficiency offers an opportunity to ameliorate the ill effects of a feed processing error, the early diagnosis and immediate treatment of hypophosphatemic rickets is of utmost importance [19], with irreparable economic losses resulting if this is not possible. We hypothesized that the duration of onset of hypophosphatemic rickets might be around three days after commencement of feeding the chicks a high Ca:P ratio, P deficient (HCa:P) crumbled feed.…”

Section: Introductionmentioning

confidence: 99%

Effect of Feeding a High Calcium: Phosphorus Ratio, Phosphorous Deficient Diet on Hypophosphatemic Rickets Onset in Broilers

Farnell

et al. 2021

Agriculture

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Recently, a P-deficient diet caused rickets in commercial chicks within three days. This study aimed to investigate the duration of onset of rickets in chicks. Data were collected from 3–11 day old chicks raised on 88 commercial farms. Male day-old Arbor Acres Plus broilers (n = 450) were studied in three trials, with three to four treatments each. Each treatment used one of the following crumbled feeds: control feed (calcium (Ca): phosphorus (P)-1.41), slightly high Ca:P feed (SHCa:P, Ca:P-2.69), high Ca:P ratio, P deficient feed (HCa:P, Ca:P-3.08), and HCa:P feed plus 1.5% dicalcium phosphate (HCa:P + DP). Each treatment had three replicates with 15 birds each. Rickets was induced by HCa:P, and cured by HCa:P + DP, confirmed by gross anatomy, gait score, serum P concentration and growth performance. Lameness was not found in control groups, whereas, observed in the HCa:P groups as early as day 2.7 on commercial farms and day 3 in experimental farm. Serum P was reduced in HCa:P (p < 0.01). Bodyweight and feed intake started decreasing at day 3 on commercial farms and in all trials (p < 0.01). The duration of onset of hypophosphatemic rickets in broiler chicks fed HCa:P crumbled feed is approximately three days.

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Early manifestation of hypophosphatemic rickets in goslings: a potential role of insufficient muscular adenosine triphosphate in motility impairment of early P-deficient geese

Xu,

Li,

Miao

et al. 2024

Poultry Science

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Raquitismo Hipofosfatêmico: Relato De Caso

Cited by 5 publications

References 19 publications

X-Linked Familial Hypophosphatemia: A Case Report of 27-Year Old Male and Review of Literature

X-Linked Familial Hypophosphatemia: A Case Report of 27-Year Old Male and Review of Literature

Effect of Feeding a High Calcium: Phosphorus Ratio, Phosphorous Deficient Diet on Hypophosphatemic Rickets Onset in Broilers

Early manifestation of hypophosphatemic rickets in goslings: a potential role of insufficient muscular adenosine triphosphate in motility impairment of early P-deficient geese

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