Florid rickets associated with prolonged breast feeding without vitamin D supplementation

Lesson of the week: Florid rickets associated with prolonged breast feeding without vitamin D supplementation -- Mughal et al. 318 (7175): 39 -- BMJ

I saw a friend last week, she is white, her husband is from Ghana. I was shocked to find out that her 16 month old daughter had florid rickets!

The mother's vitamin D level was normal and the child was being breastfed. I find it so hard to believe that rickets is still around in 2008 and think it's a public health problem being ignored. There is little national guidance as to prevention and treatment for health professionals, resulting in little or no explanation to patients, except a mention by the health visitor which often goes ignored.

I routinely start all babies at risk on Abidec or Dalivit, and tell the mother to supplement her diet too, especially if she is breastfeeding.