Spiral Fracture in Young Infant Causing a Diagnostic Dilemma: Nutritional Rickets versus Child Abuse

Table 1

Infant and maternal biochemical data.

Age of infant (months)	Ca; mg/dL	PO4; mg/dL	AlkP; U/L	PTH; pg/mL	25(OH)D; ng/mL	1,25(OH)D; pg/mL	Daily treatment with ergocalciferol (IU)
	Reference values
	8.3–10.3	4.5–6.7	70–350	15–75	>20.0	15–75
Infant’s biochemical data
Birth	7.6	7.0	—	—	—	—	—
	10	5.1	595	120	<13	13	2,000
3	10.2	5.6	715	<6.3	17.1	209	800
4	10.0	—	412	27.9	28.4	—	800
7	10.3	6.0	347	13.2	36.5	77	800
Maternal biochemical data
3	9.5	4.1	95	—	8.7	22.1	—

presentation.