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Rickets and gross motor delay in a child with atopic dermatitis
We report a case of a 14-month-old boy with atopic dermatitis (AD) who presented to our hospital with hypocalcemic tetany and gross motor delay. Further laboratory and imaging confirmed the diagnosis of vitamin D deficiency and rickets. He was breastfeeding and on a restricted diet due to presumed m...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885143/ https://www.ncbi.nlm.nih.gov/pubmed/33614053 http://dx.doi.org/10.1093/omcr/omaa143 |
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author | Salloum, Shafee Hatcher, Vishaka |
author_facet | Salloum, Shafee Hatcher, Vishaka |
author_sort | Salloum, Shafee |
collection | PubMed |
description | We report a case of a 14-month-old boy with atopic dermatitis (AD) who presented to our hospital with hypocalcemic tetany and gross motor delay. Further laboratory and imaging confirmed the diagnosis of vitamin D deficiency and rickets. He was breastfeeding and on a restricted diet due to presumed multiple food allergies. He received calcium and vitamin D supplementation which corrected his hypocalcemia. The patient developed Staphylococcus aureus bacteremia and superficial septic thrombophlebitis for which he was treated with antibiotics and anticoagulation. An elimination diet should be avoided in AD patients as true food-induced AD is rare and management should focus on optimal skincare. AD patients have a higher rate of S. aureus skin colonization, which increases their risk for infectious complications. This case also highlights the importance of maintaining a high index of suspicion for rickets in children with isolated gross motor delay, especially in those with risk factors. |
format | Online Article Text |
id | pubmed-7885143 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-78851432021-02-19 Rickets and gross motor delay in a child with atopic dermatitis Salloum, Shafee Hatcher, Vishaka Oxf Med Case Reports Case Report We report a case of a 14-month-old boy with atopic dermatitis (AD) who presented to our hospital with hypocalcemic tetany and gross motor delay. Further laboratory and imaging confirmed the diagnosis of vitamin D deficiency and rickets. He was breastfeeding and on a restricted diet due to presumed multiple food allergies. He received calcium and vitamin D supplementation which corrected his hypocalcemia. The patient developed Staphylococcus aureus bacteremia and superficial septic thrombophlebitis for which he was treated with antibiotics and anticoagulation. An elimination diet should be avoided in AD patients as true food-induced AD is rare and management should focus on optimal skincare. AD patients have a higher rate of S. aureus skin colonization, which increases their risk for infectious complications. This case also highlights the importance of maintaining a high index of suspicion for rickets in children with isolated gross motor delay, especially in those with risk factors. Oxford University Press 2021-02-15 /pmc/articles/PMC7885143/ /pubmed/33614053 http://dx.doi.org/10.1093/omcr/omaa143 Text en © The Author(s) 2021. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Salloum, Shafee Hatcher, Vishaka Rickets and gross motor delay in a child with atopic dermatitis |
title | Rickets and gross motor delay in a child with atopic dermatitis |
title_full | Rickets and gross motor delay in a child with atopic dermatitis |
title_fullStr | Rickets and gross motor delay in a child with atopic dermatitis |
title_full_unstemmed | Rickets and gross motor delay in a child with atopic dermatitis |
title_short | Rickets and gross motor delay in a child with atopic dermatitis |
title_sort | rickets and gross motor delay in a child with atopic dermatitis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885143/ https://www.ncbi.nlm.nih.gov/pubmed/33614053 http://dx.doi.org/10.1093/omcr/omaa143 |
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