Avaliação clínica e laboratorial dos pacientes portadores de raquitismo e osteomalacia do Hospital Universitário da Universidade Federal de Sergipe

Abstract

Rickets is a disorder of defective mineralization of cartilage in the epiphyseal growth plates, leading to growth retardation and skeletal deformities. The diagnosis of rickets is based on clinical suspicion, and must be confirmed by radiographic and laboratory abnormalities. Treatment of rickets depends on its etiology and should provide improved metabolic disorders, the symptoms and the rate of growth. Objective: This study aims to evaluate the clinical and laboratory aspects of the patients with Rickets from the Ambulatory of Osteometabolic Diseases located in the Hospital of Federal University of Sergipe. Patients and methods: Retrospective, descriptive study, in which evaluated data regarding the diagnosis, laboratory parameters, treatment and complications, were collected through chart review of all seven patients. Results: It was observed that 71.4% were female, 57.1% were carriers of hypophosphatemic rickets, 71.4% had osteoarticular deformities, all the pacients underwent drug therapy and 42.9% progressed to sonographic alterations of the urinary tract from the treatment. Conclusion: The delay in diagnosis of the disease can cause osteoarticular sequelae and irreversibly affect growth. Therefore it is crucial to know the clinical and laboratorial findings to promote clinical suspicion and early referral of patients to the specialist. Regular outpatient follow-ups are also important in preventing and monitoring potential complications arising from the treatment of the Rickets.