Patient's question:
The child has multiple rib deformities and excessive sweating. In May, June, and August 2013, the child received three injections of vitamin D3 at Shengjing Hospital and has been taking iron, zinc, and calcium supplements ever since.In September, a follow-up wrist X-ray showed no improvement at all, and the child continued to experience severe hyperhidrosis (sweating at night and during the day).
In September, the child was prescribed Rogaine, but after taking only five pills, sweating became even worse. All medications were stopped.
During a follow-up in October, the child still sweated profusely. Blood tests for calcium, phosphorus, alkaline phosphatase, and 25-hydroxyvitamin D were all normal, and the doctor advised stopping medication. However, the child sweated for about a week after returning home before suddenly stopping.
Starting in November, due to insufficient sun exposure, the child began taking one vitamin D3 tablet daily, which continued until mid-June of this year.
In March 2014, the child started experiencing excessive sweating. Vitamin D3 and calcium supplements were continued until mid-June.
On June 1, the child suddenly had a three-day fever with no other symptoms. During this time, three fever-reducing injections were administered, along with ibuprofen and antiviral Chinese medicine. After the fever subsided, sweating became even worse—soaking the back and forehead in sweat within moments of falling asleep, followed by another wave of sweating shortly after. The child sweated like taking a shower all night, even without sleeping during the day.
On June 20, the child was tested for vitamin D3 at the developmental pediatrics department, which was normal. A wrist X-ray still showed calcium deficiency, and the doctor suggested that the child might have a metabolic issue, prescribing Rogaine. The child has been taking it for nearly a month with no improvement. The child continues to sweat excessively, has rib deformities, and is visibly thin.
Doctor's answer:
Have a 25-hydroxyvitamin D3 level test and bone density scan. If the results are normal, you don't need excessive supplementation. A balanced diet and adequate sun exposure are sufficient! Rib flaring, a sequelae of rickets caused by calcium deficiency, requires gradual recovery through exercise. More supplementation won't have a significant effect!Excessive sweating is due to sympathetic nerve excitement in children during the night or after sleep. You can take "Yupingfeng Granules" for a period to regulate it and drink more water!