hrp0095p2-33 | Bone, Growth Plate and Mineral Metabolism | ESPE2022

Maternal Vitamin D deficiency leading to Rickets, Cardiomegaly and Unusual Metabolic Acidosis in a Term Infant: A Case Report

Warnasuriya Dhanushika , Liyanage Upeksha , Wickramarathne Isuru , Gunathilaka Ganganath , Kariyawasam Prathibha , Suntheresan Jananie

Introduction: We describe a 4 month old term infant of a vitamin D deficient mother who presented with bronchopneumonia and cardiomegaly needed respiratory support. Despite resolution of bronchopneumonia he had persistent normal anion gap metabolic acidosis. In the process of investigating into symptomatic hypocalcaemia revealed rickets with 25-hydroxy-vitamin D (Vit D) deficiency and high parathyroid hormone (PTH) which led to distal renal tubular acidosis. B...