RISK FACTORS FOR THE DEVELOPMENT OF ALIMENTARY RICKETS IN A CHILD WITH ATOPIC DERMATITIS
DOI:
https://doi.org/10.11603/2411-1597.2023.3-4.14124Keywords:
alimentary rickets, prevention of rickets, atopic dermatitis, vitamin D, childrenAbstract
Introduction. In society, it is necessary to understand the importance of the use of vitamin D3 for the child’s body. Vitamin D is important for proper bone mineralization in children and the formation of the immune system response. Therefore, the correct implementation of the prescriptions of this vitamin by parents with a preventive purpose is of great importance in the formation of the health of each person, starting from an early age.
The aim of the study – to conduct an analysis of risk factors from the side of the mother (antenatal) and baby factors in the formation of alimentary rickets in a child with atopic dermatitis.
The main part. The clinical case of a 7-month-old child with signs of atopic dermatitis and alimentary rickets seeking medical help to a doctor is described. The main clinical criteria observed in a child with such a combined pathology are described and highlighted, auxiliary research methods are analyzed. An analysis of antenatal risk factors for the development of alimentary rickets in a child was carried out: the mother’s refusal to supplement with vitamin D during pregnancy, the lack of calcium-fortified products in the diet, selective nutrition, being outdoors in closed clothes during walks and postnatal (infant) factors: late and irrational introduction of supplementary food, unsystematic use of vitamin D3 for preventive purposes, taking walks in the yard only in comfortable weather.
Conclusions. In the formation of alimentary rickets, a combination of risk factors from the side of the mother (antenatal) and infant factors play a role. The leading maternal factors contributing to the development of alimentary rickets are the features of a diet without fortification of widely used products and supplementation with vitamin D. The leading infant factors are a combination of risk factors such as ‘related to the intake of vitamin D internally with food products and taking a preventive dose of the vitamin and the possibility of vitamin D formation under the influence of solar radiation. The mother’s ignorance of the features of the accompanying pathology in the child (atopic dermatitis) aggravates the baby’s risk factors for the development of alimentary rickets. Emphasis is placed on the need for educational work among parents in order to raise awareness of the development of alimentary rickets in children with accompanying pathology.
References
Mochulska, O.M., Boyarchuk, O.R., Kinash,M.I., Shulgai, O.M., & Dobrovolska, L.I. (2022). Vitaminnyy status yak ocinka zabezpechenosti vitaminamy А, Е, D v ditey z alergodermatozamy [Effects of vitamins A, E, D, disorders of their metabolism and assessment of the level of vitamin supply in children]. Suchasna pediatriya – Modern pediatrics, 6(126), 55–61. DOI: 10.15574/SP.2021.114.58 [in Ukrainian]. DOI: https://doi.org/10.15574/SP.2022.126.55
Godyazka, K., & Bolbot, Yu. (2018). Rol vitamanu D ta znachennya yogo deficytu v dytyachomu vici? [The role of vitamin D and the significance of its deficiency in childhood]. Z turbotoyu pro dytynu – With care for the child, 1, 11-14 [in Ukrainian].
Payenok, O.S., Maslyanko, V.A., & Pankiv, I.V. (2018). Vplyv vitaminy D na perebih vahitnosti, rozvytok ploda ta zdorovya ditey u posnatalnomu periodi [The influence of vitamin D on the course of pregnancy, fetal development and the health of children in the postnatal period]. Mizhnarodnyy endocrynolohizhnyy zhurnal – International journal of endocrinology, 7, 63-74. DOI: 10.22141/2224-0721.14.7.2018.148778 [in Ukrainian]. DOI: https://doi.org/10.22141/2224-0721.14.7.2018.148778
Profilaktyka ta likuvannya alimentarnogo rachitu Nakaz MOZ [Prevention and treatment of alimentary rickets. Order of the Ministry of Health of Ukraine No.730, 17.04.2023]. Retrieved from: https://www.dec.gov.ua/wp-content/uploads/2023/04/2023_730_nakaz.pdf [in Ukrainian].
Zaft, V.B., & Climova, Zh.O. (2015). Deficyt vitaminu D ta yoho suchasna laboratorna diagnostyca [Vitamin D deficiency and its modern laboratory diagnosis]. Mizhnarodnyy endocrynolohizhnyy zhurnal – International journal of endocrinology, 2(66), 81-88. DOI: 10.22141/2224-0721.2.66.2015.75446 [in Ukrainian]. DOI: https://doi.org/10.22141/2224-0721.2.66.2015.75446
(2023). Profilaktyka ta likuvannya alimentarnogo rachitu Clinichna nastsnova, zasnovana na dokazach [Prevention and treatment of alimentary rickets. Evidence -based clinical practice]. Retrieved from: https://www.dec.gov.ua/wp-content/uploads/2023/04/2023_730_kn_rahit_ok.pdf [in Ukrainian].
(2023). Profilaktyka ta likuvannya alimentarnogo rachitu Standarty medychnoi dopomogy [Prevention and treatment of alimentary rickets. Standards of medical care]. Retrieved from: https://www.dec.gov.ua/wp-content/uploads/2023/04/2023_730_smd-rahit.pdf [in Ukrainian].
Płudowski, P., Kos-Kudła, B., Walczak, M., Fal, A., & Zozulińska-Ziółkiewicz, D. (2023). Guidelines for Preventing and Treating Vitamin D Deficiency. Nutrients, 15(3), 695. DOI: 10.3390/nu15030695. DOI: https://doi.org/10.3390/nu15030695
Munns, C.F., Shaw, N., Kiely, M., Specker, B.L., & Thacher, K.O. (2016). Global Consensus Recommendations on Prevention and Management of Nutritional Rickets. J. Clin. Endocrinol. Metab., 101(2), 394-415. DOI: 10.1210/jc.2015-2175. DOI: https://doi.org/10.1210/jc.2015-2175
Ellison, D.L., & Moran, H.R. (2021). Vitamin D: Vitamin or Hormone? Nursing Clinics of North America, 56(1), 47-57. DOI: 10.1016/j.cnur.2020.10.004. DOI: https://doi.org/10.1016/j.cnur.2020.10.004
Hafner, D., LeifheitNestler, M., Grund, A., & Schnabe, D. (2022). Rickets guidance: part I – diagnostic workup. Pediatric Nephrology, 37, 2013-2036. DOI: 10.1007/s00467-021-05328-w. DOI: https://doi.org/10.1007/s00467-021-05328-w
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Nursing
This work is licensed under a Creative Commons Attribution 4.0 International License.
