臨床整形外科57巻5号

2022年05月発行

増大号特集 もう悩まない　こどもと思春期の整形外科診療

8章　その他

栄養不足による骨代謝障害

著者： 澤村健太¹ 鬼頭浩史¹

所属機関： ¹あいち小児保健医療総合センター整形外科

ページ範囲：P.702 - P.708

文献概要

Point!

●現代でも特定の栄養素の摂取不足により骨代謝障害を発症する．

●ビタミンD欠乏性くる病のリスク因子で特に注意を要するのは完全母乳栄養，食事制限，日光曝露不足である．

●原因不明の下肢痛を訴え，極端な偏食のエピソードがある場合には壊血病も疑う．

●栄養不足による骨代謝障害に特徴的なX線所見は骨端線周囲(特に骨端軟骨の成長が著しい膝関節)に生ずる．

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