13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency
Background. Femur fractures in adolescents are rare. Severe vitamin D deficiency has important implications for bone health. We describe the case of a 13-year-old boy with autism spectrum disorder (ASD) who presented with low-impact bilateral femur fractures in the setting of severe vitamin D defici...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2021/2440999 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832560585803300864 |
|---|---|
| author | Marianne Jacob Marisa Censani |
| author_facet | Marianne Jacob Marisa Censani |
| author_sort | Marianne Jacob |
| collection | DOAJ |
| description | Background. Femur fractures in adolescents are rare. Severe vitamin D deficiency has important implications for bone health. We describe the case of a 13-year-old boy with autism spectrum disorder (ASD) who presented with low-impact bilateral femur fractures in the setting of severe vitamin D deficiency. Case Presentation. A 13-year-old boy with ASD presented with bilateral leg pain after an unwitnessed fall. Laboratory investigations revealed severe hypocalcemia (S. calcium 4.9 mg/dL) and severe vitamin D deficiency (25(OH)D < 4 ng/mL). Lower extremity X-rays revealed bilateral distal femoral metaphyseal fractures. Conclusion. This is the youngest known case of bilateral femoral fractures in the setting of severe 25(OH)D deficiency. Children with ASD are especially at risk for 25(OH)D deficiency as many have inadequate nutritional intake. As such, primary care providers may provide a pivotal role in the routine laboratory screening of 25(OH)D in this population. |
| format | Article |
| id | doaj-art-24af57d8fdca4ad18c8899f582c2c510 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-24af57d8fdca4ad18c8899f582c2c5102025-02-03T01:27:06ZengWileyCase Reports in Pediatrics2090-68032090-68112021-01-01202110.1155/2021/2440999244099913-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D DeficiencyMarianne Jacob0Marisa Censani1Weill Cornell Medicine, New York Presbyterian Hospital, Division of Pediatric Endocrinology, Department of Pediatrics, New York, NY, USAWeill Cornell Medicine, New York Presbyterian Hospital, Division of Pediatric Endocrinology, Department of Pediatrics, New York, NY, USABackground. Femur fractures in adolescents are rare. Severe vitamin D deficiency has important implications for bone health. We describe the case of a 13-year-old boy with autism spectrum disorder (ASD) who presented with low-impact bilateral femur fractures in the setting of severe vitamin D deficiency. Case Presentation. A 13-year-old boy with ASD presented with bilateral leg pain after an unwitnessed fall. Laboratory investigations revealed severe hypocalcemia (S. calcium 4.9 mg/dL) and severe vitamin D deficiency (25(OH)D < 4 ng/mL). Lower extremity X-rays revealed bilateral distal femoral metaphyseal fractures. Conclusion. This is the youngest known case of bilateral femoral fractures in the setting of severe 25(OH)D deficiency. Children with ASD are especially at risk for 25(OH)D deficiency as many have inadequate nutritional intake. As such, primary care providers may provide a pivotal role in the routine laboratory screening of 25(OH)D in this population.http://dx.doi.org/10.1155/2021/2440999 |
| spellingShingle | Marianne Jacob Marisa Censani 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency Case Reports in Pediatrics |
| title | 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency |
| title_full | 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency |
| title_fullStr | 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency |
| title_full_unstemmed | 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency |
| title_short | 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency |
| title_sort | 13 year old boy presenting with bilateral femur fractures in the setting of severe vitamin d deficiency |
| url | http://dx.doi.org/10.1155/2021/2440999 |
| work_keys_str_mv | AT mariannejacob 13yearoldboypresentingwithbilateralfemurfracturesinthesettingofseverevitaminddeficiency AT marisacensani 13yearoldboypresentingwithbilateralfemurfracturesinthesettingofseverevitaminddeficiency |