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Vitamin-D deficiency is not as rare in Jamaica as previously believed. 9 children with vitamin-D deficiency rickets have been seen at the University Hospital of the West Indies during the past 5 years. All were over 3 years of age at time of presentation. Both dietary deficiency of vitamin D and lack of exposure to sunlight seem to be important causes. Children living in rural Jamaica seem to be more susceptible to the disease than those living in a city, due perhaps to more prolonged breast feeding and lack of fortified milk feeds on weaning.
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T. A. Joiner, C. Foster, and T. Shope The Many Faces of Vitamin D Deficiency Rickets Pediatr. Rev., September 1, 2000; 21(9): 296 - 302. [Full Text] |
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