{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T02:12:17Z","timestamp":1784167937578,"version":"3.55.0"},"reference-count":12,"publisher":"BMJ","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2012,8,2]]},"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The increase in detected vitamin D deficiency appears to be multifactorial: an increasingly multicultural society, reduced exposure to sunlight due to concern about skin cancer and a more sedentary lifestyle and dietary changes within the population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective survey of children found to be vitamin D deficient after attending the emergency department from March 2009 until March 2010. These data were then subdivided according to their age, ethnic origin, presenting complaint and biochemical associated features.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 89 patients with a low vitamin D level (total vitamin D levels less than 50\u2005nmol\/l), with 83% of those having very low vitamin D levels (less than 25\u2005nmol\/l). The most common presenting features were abdominal pain (19%), a seizure (17%) and limb pain (15%). The most common ethnic origins in our series were Pakistani (37%) followed by black African (11.2%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Vitamin D deficiency should be considered in children with pigmented skin presenting with a range of symptoms. The detected vitamin D deficiency probably represents only a very small proportion of the vitamin D deficiency in children in Birmingham.<\/jats:p><\/jats:sec>","DOI":"10.1136\/emermed-2012-201473","type":"journal-article","created":{"date-parts":[[2012,9,9]],"date-time":"2012-09-09T00:45:41Z","timestamp":1347151541000},"page":"717-719","source":"Crossref","is-referenced-by-count":11,"title":["Vitamin D deficiency in children presenting to the emergency department: a growing concern. Vitamin D deficiency in Birmingham's children: presentation to the emergency department"],"prefix":"10.1136","volume":"30","author":[{"given":"Lisa","family":"Kehler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sapna","family":"Verma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Krone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Roper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2012,9,8]]},"reference":[{"key":"2024052700084578000_30.9.717.1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.86.3.147"},{"key":"2024052700084578000_30.9.717.2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.83.1.169"},{"key":"2024052700084578000_30.9.717.3","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2007.119792"},{"key":"2024052700084578000_30.9.717.4","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2009.173195"},{"key":"2024052700084578000_30.9.717.5","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.031385"},{"key":"2024052700084578000_30.9.717.6","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2004.069575"},{"key":"2024052700084578000_30.9.717.7","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1136\/bmj.318.7175.39","article-title":"Florrid Rickets associated with prolonged breast feeding without Vitamin D supplementation","volume":"318","author":"Mughal","year":"1999","journal-title":"BMJ"},{"key":"2024052700084578000_30.9.717.8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0213"},{"key":"2024052700084578000_30.9.717.9","first-page":"581","article-title":"drug and therapeutics committee of the Lawson Wilkes endocrine society. Vitamin D deficiency in children and its management: review of current knowledge and recommendations","volume":"94","author":"Misra","year":"2008","journal-title":"Paediatrics"},{"key":"2024052700084578000_30.9.717.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b5664"},{"key":"2024052700084578000_30.9.717.11","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2006.098467"},{"key":"2024052700084578000_30.9.717.12","unstructured":"Institute of Medicine, food and nutrition board. Dietary reference intakes."}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emermed-2012-201473","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T07:09:41Z","timestamp":1716793781000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emermed-2012-201473"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9,8]]},"references-count":12,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2013,8,13]]},"published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.1136\/emermed-2012-201473"],"URL":"https:\/\/doi.org\/10.1136\/emermed-2012-201473","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"value":"1472-0205","type":"print"},{"value":"1472-0213","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9,8]]}}}