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Postgraduate Medical Journal 2000;76:369-372; doi:10.1136/pmj.76.896.369
Copyright © 2000 The Fellowship of Postgraduate Medicine.
Postgrad Med J 2000;76:369-372 ( June )

Case report

Pseudovitamin D deficiency rickets---a report from the Indian subcontinent Abdul Hamid Zargara, Ambrish Mithalb, Arshad Iqbal Wania, Bashir Ahmad Lawaya, Shariq Rashid Masoodia, Mir Iftikhar Bashira, Mohammad Ashraf Ganiea

a Department of Endocrinology, Sheri-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India, b Department of Endocrinology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Correspondence to: Professor Abdul Hamid Zargar, Post Box No 1098, GPO, Srinagar 190001, Kashmir, India (e-mail: abdulhamidz{at}vsnl.com)

Submitted 6 June 1999; Accepted 22 November 1999

Pseudovitamin D deficiency rickets (also called vitamin D dependent rickets type I) is one of the types of inherited rickets and is caused by a deficit in renal 25-hydroxyvitamin D 1alpha -hydroxylase. This form of rickets has not been reported from the Indian subcontinent. Three patients with this disorder are presented. These patients were all females aged 3-20 years and presented with growth failure and skeletal deformities. All had florid clinical and radiological rickets. The biochemical abnormalities seen included hypocalcaemia, hypophosphataemia, and hyperphosphatasia. All patients had grossly raised 25-hydroxyvitamin D concentrations and markedly low to undetectable concentrations of 1,25-dihydroxyvitamin D. A disturbing feature of this study was the late referral of the patients.


Keywords: 1alpha -hydroxylase; calcitriol; inherited rickets; vitamin D dependent rickets


© 2000 by The Fellowship of Postgraduate Medicine

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