7개월간 선식만 먹인 영아에서 발생한 구루병 1례

• Published in: Soakwa Vol. 46; no. 11; pp. 1143 - 1146
• Main Authors: 양정아, 장경아, 박혜원, 장욱, 한만용, 조영아, 이은, Yang, Jeong-A, Jang, Kyung-A, Park, Hye-Won, Jang, Wook, Han, Man-Yong, Cho, Young-A, Lee, Eun
• Format: Journal Article
• Language: Korean
• Published: 2003
• Subjects: Infant; Rickets; Vitamin D; Nutrition; Weaning
• ISSN: 0560-3560

Rickets is a nutritional disorder which is caused either by deficiency of vitamin D or by a defective activation of vitamin D. In these days, even though the incidence of rickets has decreased through adequate nutritional support, we sometimes experience rickets in babies receiving a prolonged special diet as therapy for chronic diarrhea, or those subject to a in receiving the prolonged elimination of milk because of allergy. But there are no reports about rickets caused by absolute elimination of milk because of allergies in Korea. We report here a case of rickets developed after feeding on Sunsik( a mixture of several grain and fruits powder) during a seven months period in an 8-month-old male patient. This male infant manifested vomiting, poor feeding, decreased serum calcium and 25-hydroxycholecalciferol levels, and markedly increased serum alkaline phosphatase and parathyroid hormone levels. Skeletal X-rays showed cupping and fraying in distal metaphyses of radius and ulna, and generalized osteopenia. The patient improved with vitamin D and calcium therapy. 저자들은 아토피 피부염 조절을 위해 7개월간 선식만 먹고 발생한 구루병 1례를 경험하여 근래에 대두되고 있는 영양식의 실태와 문제점을 살펴보고자 문헌 고찰과 함께 보고하는 바이다.