Patient's question:
Okay, here is the translation following your instructions:There was hair loss at the nape of the neck. CT was performed using Topogram slices as the landmark, with a cross-sectional non-contrast scan. The slice thickness was 5mm, and the slice interval was 5mm. The density of the brain parenchyma was normal, without any obvious abnormal density shadows or space-occupying lesions. The subarachnoid spaces in the bilateral frontal and temporal regions, as well as the anterior longitudinal fissure cisterns, were slightly widened. The shapes, sizes, and positions of the remaining ventricles, cisternal systems, and sulci were not obviously abnormal. The midline structures were central, without hydrocephalus. The benign subarachnoid spaces in the bilateral frontal and temporal regions were slightly widened. Feeding was normal, bowel and bladder functions were normal. Born,
Doctor's answer:
Early symptoms of rickets: Poor appetite, frequent crying, irritability. Sleep disturbances at night, including night terrors and night crying, excessive sweating, sometimes wetting pillowcases and clothes, and baldness on the pillow. During the active phase, symptoms may include a square skull, delayed teething, and costal cartilage prominence.Advice: Your baby's excessive sweating and baldness on the pillow indicate symptoms of calcium deficiency. Since you are already supplementing with AD, calcium and zinc should be taken separately—calcium in the morning and evening, and zinc at noon. Taking them together can affect absorption.
Possible tests for diagnosing rickets:
1. X-ray examination: X-rays of the wrist are the primary basis for diagnosis and staging. X-ray images reflect the degree of skeletal changes, helping clinicians stage active rickets. However, subtle early changes may be difficult to identify.
2. Blood biochemical tests: These only reflect the recent nutritional status of vitamin D3 in the body and cannot indicate long-term calcium nutrition.
3. BAKP level test: This can provide an early diagnostic basis. The sample collection is simple, can be taken alongside a routine blood test, has no radiation exposure, is easy to operate, and is cost-effective.
Treatment: Mild cases can be treated by promptly supplementing vitamin D and calcium. You are already doing this, which is great. Severe cases may require vitamin D injections, usually administered 1-2 times, with the dosage determined by the doctor.
Wishing your baby good health!