A 3-year-old boy with a known case of celiac disease, presented to the clinic with frontal bossing, bowlegs and harrison sulcus. He missed the follow up in the clinic for the last... A 3-year-old boy with a known case of celiac disease, presented to the clinic with frontal bossing, bowlegs and harrison sulcus. He missed the follow up in the clinic for the last 6 months. Which of the following can help in confirming the diagnosis?
Understand the Problem
The question describes a 3-year-old boy with celiac disease who presents with symptoms suggestive of a nutritional deficiency disease (rickets). The question asks which of the options is most helpful in confirming the diagnosis of rickets. The question requires knowledge of celiac disease, rickets, and their clinical presentations.
Answer
Check Vitamin D levels.
Given the patient's history of celiac disease and the new symptoms (frontal bossing, bowlegs, and Harrison sulcus) after a lapse in follow-up, these signs suggest a possible vitamin D deficiency and/or malabsorption issues exacerbating the celiac condition. Vitamin D levels should be checked to confirm the diagnosis.
Answer for screen readers
Given the patient's history of celiac disease and the new symptoms (frontal bossing, bowlegs, and Harrison sulcus) after a lapse in follow-up, these signs suggest a possible vitamin D deficiency and/or malabsorption issues exacerbating the celiac condition. Vitamin D levels should be checked to confirm the diagnosis.
More Information
The constellation of symptoms (frontal bossing, bowlegs, Harrison sulcus) suggests a vitamin D deficiency, possibly due to malabsorption related to poorly managed celiac disease. Regular follow-up is important in children with Celiac Disease.
Tips
It's a common mistake to focus solely on the celiac disease aspect without considering potential complications or deficiencies arising from it. Always consider the broader clinical picture and potential secondary issues.
Sources
- Treatment for Celiac Disease - NIDDK - niddk.nih.gov
- Celiac Disease Screening - celiac.org
- Celiac disease: Managing a multisystem disorder - ccjm.org
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