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Growth Velocity Data and Hypophosphatemic Rickets
GUNNAR B. STICKLER, MD
Department of Pediatrics Mayo Clinic Rochester, MN 55905
Am J Dis Child. 1988;142(1):14.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Sir.—It is possible that I missed something in the article by Tsuru and associates1 in the January issue of AJDC.
The authors gave the so-called Z scores of linear length before and after treatment of patients with hypophosphatemic rickets. This indicates that the patients were 2.2 SDs below the mean at the age of 2 years and 2.7 SDs below the mean at 12 years. In other words, over the span of observations, their short stature has not changed. This is precisely what I have seen over the years with various forms of treatment in this disease. Growth velocity data do not indicate what the eventual height of these children will be. My colleagues Drs Howard, Huse, and Hayles and I2 presented in an abstract our experience treating 16 children for periods from one to seven years with buffered phosphate, ergocalciferol (vitamin D2), or dihydrotachysterol. The
. . . [Full Text PDF of this Article]
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