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  • Küçük Resim
    Öğe
    Level of serum 25-OHD in healthy children aged 0-36 months in Van
    (Turkish Pediatrics Assoc, 2010) Arica, Vefik; Arica, Secil; Gucuk, Sebahat; Edima, Tamer
    Aim: In recent studies, it has been shown that prevalence of rachitism and vitamin D deficiency depend on regional differences such as climate, socioeconomic level and changing benefits of people from health services. Even if no clinical symptom has occurred, serum 25-hydroxy D (25-OHD) level, which is the best indicator of vitamin D can be found low. Material and Method: In this study, serum 25-OHD levels of 112 healthy children, aging 0-36 months, who applied to the outpatient clinic of the Pediatrics and Gynecology Hospital for a routine control in Van, were analyzed. Nutrition style of mothers and their babies, duration of exposing to sunlight and taken vitamin supplements, were evaluated. Serum Ca, P, alkaline phosphatase and 25-OHD levels were studied and the left wrist x-rays were obtained. Abdominal ultrasonography was performed only the babies with serum 25-OHD level >150 ng/mL. Results: In our study, despite no clinical symptoms of rachitism regardless of gender, 25-OHD level <40 ng/mL was determined in 53.5% of the children and in %13,3 of these childrens serum level of 25-OHD was as low as <5 ng/mL, and suffering from heavy vitamin D deficieny. Conclusions: The breast-fed babies with no vitamin supplement did not show any sign of vitamin deficiency, but in 25-OHD levels were significantly low compared to the breast-fed babies with vitamin supplement. (Turk Arch Ped 2010; 45: 286-90)
  • [ N/A ]
    Öğe
    Vitamin B12 deficiency with presenting nutritional difficulty: A case report
    (Dr Behcet Uz Cocuk Hastaliklari Ve Cerrahisi, 2012) Arica, Vefik; Silfeler, Ibrahim; Arica, Secil Gunher; Tutatanc, Murat; Dogan, Murat; Gucuk, Sebahat
    Vitamin B12 deficiency is among important causes of megaloblastic anemia. In developing countries, the major reason of Vitamin B12 deficiency is deficient dietary intake. Although vitamin B12 deficiency is a rare condition, early diagnosis and treatment are important to prevent permanent neurological sequela. Anorexia is seen frequently in children. We want to remind Vitamin B12 deficiency with this case presented with anorexia. A 12 month-old male patient presented with vomiting, weight loss, paleness, malnutrition, repulsion as well as growth retardation. Physical examination revealed paleness and loss of interest to environment. Hematologic test results were as follows: WBC: 6500 gr/dl, Hgb: 8.8 gr/dl, MCV: 96 fl, platelet count: 162.000/mm(3). Mean serum folic acid level of the patient was 19.4 ng/mL (3-22.4 ng/mL), and vitamin B12 level 72 pg/mL (200-1210 pg/mL), while mean vitamin B12 level of the mother was 96 pg/mL. The patient was diagnosed as vitamin B12 deficiency and intramuscular Vitamin B12 treatment was initiated. One month later, his vomiting ceased, his appetite was well and he gained 850 gr. His interest to environment was improved. We want to impress with this case that infants with anorexia might have vitamin B12 deficiency. Treatment of vitamin B12 deficiency is important because it might lead to permanent neurological sequela and vitamin B12 deficiency respond to treatment dramatically.