title: Vitamin D-deficiency rickets in adopted children from the former Soviet Union: an uncommon problem with unusual clinical and biochemical features.
abstract: Rickets is an unusual disorder in international adoptees. Three international adoptees from the former Soviet Union recently presented with rickets. Their clinical and laboratory presentations were atypical, reflecting circumstances unique to children adopted from orphanages in the former Soviet Union and the early initiation of vitamin D therapy. In these children, radiographs of the long bones were diagnostic when the classically diagnostic biochemical parameters, calcium and 25OHD(3) levels, were normal.
authors: Dwpision of Endocrinology, Alfred I duPont Hospital for Children, Wilmington, DE 19899, USA.
authors: G D
authors: GD
authors: Reeves
authors: S
authors: S
authors: Bachrach
authors: T O
authors: TO
authors: Carpenter
authors: W G
authors: WG
authors: Mackenzie
mesh_terms: D000300:Adoption / Q000208:ethnology*; D002675:Child, Preschool; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging; D005360:Fibula / Q000000981:diagnostic imaging; D006225:Hand / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D019372:Orphanages; D011859:Radiography; D012279:Rickets / Q000175:diagnosis* / Q000188:drug therapy* / Q000208:ethnology; D013977:Tibia / Q000000981:diagnostic imaging; D014586:USSR / Q000208:ethnology; D014481:United States; D014807:Vitamin D / Q000627:therapeutic use
chemical_list: D014807:Vitamin D