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  1. Home
  2. Cases

Vitamin D resistant Rickets with resultant Medullary Nephrocalcinosis

By Dr.Pavan Kumar In OTHERS Posted September 24, 2018

Patient History : A 4yr old child ,K/C/O Rickets diagnosed at the age of 11/2 yr ,now comes with swelling of both wrist joints, pot belly, inability to walk (previously he could walk) , weakness. Patient was taking Vit D & oral calcium for 2 1/2 yrs. Ultrasound of both kidneys & X-ray wrist reveals following picture .what it could be ........??
Gender:Male
Age:4 year

Causes of medullary nephrocalcinosis
1.Hyperparathyroidism , 
2.Medullary sponge kidney
3.Tuberculosis of the kidneys
4,Renal tubular acidosis
5.Immobilization
6.Renal papillary necrosis
7.Hypervitaminosis D
8.Sarcoidosis
9.Nephrocalcinosis
10.Hyperoxaluria
11.Miscellaneous causes-conditions assosiated with hypercalcemia and
hypocalciuria like bonymetastases, multiple myeloma, Paget disease,
Cushing disease, and both hyperthyroidism and hypothyroidism
(though the incidence associated with hypothyroidism is low).
Chronic paraneoplastic hypercalcemia may also cause nephrocalcinosis.

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