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Symptomatic vitamin D deficiency among non-Caucasian adolescents living in the United Kingdom
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  1. S Crocombe1,
  2. M Z Mughal1,
  3. J L Berry2
  1. 1Department of Paediatric Medicine, St Mary’s Hospital for Women & Children, Hathersage Road, Manchester M13 0JH, UK
  2. 2University Department of Medicine, Manchester Royal Infirmary, Manchester M13 9WL, UK
  1. Correspondence to:
    Dr Z Mughal
    Consultant Paediatrician & Honorary Senior Lecturer in Child Health, Department of Paediatric Medicine, St Mary’s Hospital for Women & Children, Hathersage Road, Manchester M13 0JH, UK; zulf.mughalman.ac.uk

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We have previously drawn attention to a resurgence of vitamin D deficiency rickets in young children of South Asian (Indian, Pakistani, and Bangladeshi) and Middle Eastern origin, living in the UK.1,2 We now describe nine (one male) non-Caucasian, adolescents (age 11–17 years) who presented with symptomatic vitamin D deficiency between 1997 and 2002. Table 1 summarises their ages, ethnic origins, clinical symptoms, signs, and relevant biochemical findings at presentation. All presented with symptoms of vitamin D deficiency, which included lower limb pains, difficulty in walking or climbing stairs, carpopedal spasms, and hypocalcaemic convulsions. Clinical signs included positive Chvostek sign, inability to stand up unaided from …

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