Abstract
We report the case of a baby girl who presented with rickets at 3 months. At the age of 5 months she was readmitted because of nystagmus and a diagnosis of osteopetrosis was made on the basis of clinical and radiological findings. Rickets is a paradoxical feature of osteopetrosis resulting from inability to maintain a normal calcium-phosphorus balance. In our patient the onset of rickets before other symptoms of osteopetrosis suggests a primary defect.
Conclusion:
It is possible that patients with osteopetrosis and rickets (osteopetrorickets) represent a different mutation like the osteopetrosis mouse, which is the only animal mutation with rickets.
MeSH terms
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Alkaline Phosphatase / blood
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Animals
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Bone Density
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Bone Marrow Transplantation
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Calcium / blood
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Calcium / urine
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Consanguinity
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Disease Models, Animal
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Female
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Humans
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Infant
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Mice
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Mutation / genetics
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Nystagmus, Pathologic / complications
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Osteopetrosis / complications
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Osteopetrosis / diagnostic imaging*
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Osteopetrosis / genetics*
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Osteopetrosis / metabolism
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Osteopetrosis / therapy
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Parathyroid Hormone / blood
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Phosphorus / blood
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Rickets / complications
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Rickets / diagnostic imaging*
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Rickets / genetics*
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Rickets / metabolism
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Rickets / therapy
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Risk Factors
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Tomography, X-Ray Computed
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Vitamin D / analogs & derivatives*
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Vitamin D / blood
Substances
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Parathyroid Hormone
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Vitamin D
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Phosphorus
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25-hydroxyvitamin D
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Alkaline Phosphatase
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Calcium