6533b858fe1ef96bd12b6147
RESEARCH PRODUCT
Skelettveränderungen bei Frühgeborenen mit Kupfermangel
Helga SchmidtI. GreinacherJ. Herwigsubject
medicine.medical_specialtybusiness.industryOsteoporosisNeutropeniamedicine.diseaseSurgeryRefractorymedicineGestationRadiology Nuclear Medicine and imagingApnoeic attacksmedicine.symptomMultiple fracturesbusinessCopper deficiencyHypopigmentationdescription
We describe 5 preterm infants (25th to 30th week of gestation) suffering from alimentary copper deficiency. The diagnosis was confirmed by low serum copper and caeruloplasmin concentrations. Characteristic clinical findings were repeated apnoeic attacks, hypopigmentation of skin and hair, anaemia, neutropenia and leucopenia refractory to other therapy, as well as increasing serum alkaline phosphatase activity in the first month of life. Starting in the 3rd to 12th week of life the radiographic findings were general skeletal osteoporosis and retardation, metaphyseal radiodense lines, irregular metaphyses, cupping and spurring of the metaphyses, followed by multiple fractures and subperiosteal new bone formation and enlarged costochondral junctions. Copper was substituted orally resulting in complete healing of fractures and improvement in both clinical symptoms and laboratory parameters.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1991-07-01 | RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren |