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{
    "pk": 561,
    "title": "Nutritional Rickets Presenting as Chronic Episodic Extremity Pain in a 9-year-old with Autism",
    "subtitle": null,
    "abstract": "Rickets due to vitamin D deficiency, typically presenting as bowed legs in toddlers, is uncommon in the modern era. We describe the case of a nine-year-old girl with autism and developmental delay who was evaluated for chronic intermittent extremity pain for more than one year prior to referral to the emergency department for hypocalcemia and increased alkaline phosphatase, which eventually led to the diagnosis of rickets confirmed by radiographic and laboratory findings. This report highlights the importance of the patient’s history of developmental delay and autism in the evaluation and approach to limb pain, and discusses the appropriate diagnostic approach.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6fz5j6qv",
    "frozenauthors": [
        {
            "first_name": "Noopur",
            "middle_name": "",
            "last_name": "Tripathi",
            "name_suffix": "",
            "institution": "Virginia Commonwealth University, School of Medicine, Richmond, Virginia",
            "department": "None"
        },
        {
            "first_name": "Roopa",
            "middle_name": "K.",
            "last_name": "Shankar",
            "name_suffix": "",
            "institution": "Virginia Commonwealth University, School of Medicine. Children’s Hospital of Richmond at VCU, Department of Pediatrics, Division of Pediatric Endocrinology, Richmond, Virginia.",
            "department": "None"
        },
        {
            "first_name": "Aline",
            "middle_name": "",
            "last_name": "Baghdassarian",
            "name_suffix": "",
            "institution": "Virginia Commonwealth University School of Medicine, Richmond, Virginia.\nVirginia Commonwealth University School of Medicine, Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Richmond, Virginia",
            "department": "None"
        }
    ],
    "date_submitted": "2018-06-26T21:01:04+01:00",
    "date_accepted": "2018-06-26T21:01:04+01:00",
    "date_published": "2018-07-16T20:25:50+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/561/galley/323/download/"
        }
    ]
}