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. 2017 Apr;29(2):143-147.
doi: 10.1016/j.jsha.2016.05.001. Epub 2016 Jun 11.

Rachitic hypocalcemic cardiomyopathy in an infant

Abdelwahab T H Elidrissy  1 , Khalid M Alharbi  2 , Mohammed Mufid  3 , Ibrahim AlMezeni  4
Affiliations

Rachitic hypocalcemic cardiomyopathy in an infant

Abdelwahab T H Elidrissy et al. J Saudi Heart Assoc. 2017 Apr.

Abstract

Cardiomyopathy in infants is characterized by heart failure in apparently normal children without previous organic cardiac lesions. Cardiomyopathy has been found to comprise four types. Rickets is common in Saudi Arabia, that is why I reviewed this subject. Recently this case with classical features of rickets being admitted in a serious state we thought of publishing it. The infant responded well to treatment and full recovery was achieved. Follow up biochemistry, radiology cardiac function completely recovered and bony abnormalities showed evidence of healing. This case might have been missed as respiratory infection. We recommend meticulous look for biochemical features of rickets in infants admitted with respiratory symptoms.

Keywords: Cardiomyopathy; Hypocalcemia; Rickets.

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Figures

Figure 1
Figure 1
Wrist distally wide indicating rickets.
Figure 2
Figure 2
Rachitic rosary due to widening of the ends of the ribs.
Figure 3
Figure 3
X-ray of chest with a wide heart diameter of 60% suggestive of heart enlargement (normal <50%).
See this image and copyright information in PMC

References

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