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Philip R. Fischer, MD; Tom D. Thacher, MD; John M. Pettifor, MBBCh, PhD

Arch Pediatr Adolesc Med. 2008;162(12):1193.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

With great interest, we read 3 recent articles in the Archives about vitamin D.^1-3 Even as vitamin D is the focus of increased exposure during its moment in the American "sun,"² American medical trainees are increasingly interested in global health.⁴ Therefore, we offer some additional comments to frame the recent Archives articles^1-3 in a global context.

Vitamin D deficiency and rickets are global problems. While rickets has made a resurgence in North America, there has also been an awareness that nutritional rickets is common in many tropical and subtropical areas.⁵ Millions of Bangladeshi children have nutritional rickets,⁶ and up to 9% of children have clinical signs of rickets in some areas of Nigeria.⁷

Worldwide, vitamin D deficiency is not the only cause of nutritional rickets. Calcium deficiency has been identified as an important etiologic factor in its . . . [Full Text of this Article]

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Defining Vitamin D Deficiency in Infants and Toddlers
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