title: Twin troubles--rickets causing myelofibrosis.
abstract: Myelofibrosis is an uncommon condition that causes anaemia, failure to thrive and massive splenomegaly. This case report describes migrant Sudanese twins who developed myelofibrosis secondary to severe rickets from a combination of poor diet, inadequate sun exposure, and a breastfeeding mother who wore hijab and was also vitamin D deficient.
authors.affiliation: Department of General Paediatrics, Princess Margaret Hospital, Perth, Western Australia, Australia. benkamien@yahoo.com.au
authors.forename: Benjamin
authors.initials: B
authors.lastname: Kamien
authors.forename: Linda
authors.initials: L
authors.lastname: Harris
mesh_terms: D001315:Australia; D005183:Failure to Thrive; D005260:Female; D006801:Humans; D007223:Infant; D055728:Primary Myelofibrosis / Q000150:complications* / Q000188:drug therapy; D011859:Radiography; D012279:Rickets / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D013163:Splenomegaly / Q000209:etiology; D013397:Sudan / Q000208:ethnology; D014171:Transients and Migrants; D016896:Treatment Outcome; D014427:Twins; D014815:Vitamins / Q000008:administration & dosage
chemical_list: D014815:Vitamins