Frontiers in Pediatrics (Jun 2020)

Diagnosis and Management of Vitamin D Dependent Rickets

  • Michael A. Levine

DOI
https://doi.org/10.3389/fped.2020.00315
Journal volume & issue
Vol. 8

Abstract

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The term “vitamin D dependent rickets” describes a group of genetic disorders that are characterized by early-onset rickets due to the inability to maintain adequate concentrations of active forms of vitamin D or a failure to respond fully to activated vitamin D. Although the term is now admittedly a pathophysiological misnomer, there remains clinical relevance for its continued use, as patients have a lifelong “dependency” on administration of specialized regimens of vitamin D replacement. This review provides an update on the molecular bases for the three forms of vitamin D dependent rickets, and summarizes current protocols for management of affected subjects.

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