Nutritional Rickets Due to Severe Food Selectivity in Autism Spectrum Disorder
| Autor: | Alyssa H. Silver, Jacob S Hartman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty Autism Spectrum Disorder Bone pathology Population Rickets vitamin D deficiency Genu Valgum Nutritional Rickets 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Developmental and Educational Psychology medicine Prevalence Humans 0501 psychology and cognitive sciences education Child education.field_of_study business.industry 05 social sciences Knock knees medicine.disease Diet Psychiatry and Mental health Autism spectrum disorder Pediatrics Perinatology and Child Health Female medicine.symptom business 050104 developmental & child psychology |
| Zdroj: | Journal of developmental and behavioral pediatrics : JDBP. 42(1) |
| ISSN: | 1536-7312 |
| Popis: | Objective Studies have detected differences in various measures of bone health between individuals with autism spectrum disorder (ASD) and their peers. However, these measures do not amount to direct clinical evidence of increased orthopedic pathology in this population. Some of the most compelling evidence to this effect comes from case reports of nutritional rickets in children with ASD. We report on 1 such case that, to our knowledge, is the first report of nutritional rickets in ASD necessitating corrective surgery. Methods Case report, review of relevant literature, and implications for further research. Results An 11-year-old girl with ASD was admitted for postoperative medical comanagement after successful repair of bilateral genu valgum (knock knees). On admission, the patient's mother reported that the patient was a "picky eater." No cause had been determined preoperatively, although the deformity had developed at 10 years of age, thereby qualifying as pathologic. The medical team considered rickets because of the patient's limited diet. Subsequent laboratory work demonstrated hypocalcemia, vitamin D deficiency, and secondary hyperparathyroidism. The patient was diagnosed with nutritional rickets due to inadequate vitamin D intake, a consequence of severe food selectivity associated with ASD. Conclusion This case exemplifies the extreme orthopedic and metabolic complications that can result from food selectivity in children with ASD, pointing to the need for further research into the prevalence and causes of orthopedic pathology and nutritional rickets in this population. The case also underscores the need for evidence-based guidelines to prevent orthopedic pathology in children with ASD. |
| Databáze: | OpenAIRE |
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