September/2006

ANSWER 19=B

DISCUSSION:

Among the etiologies of vitamin D deficiency, multiple drugs may be incriminated.
See Table.

Table

Conditions That Can Cause Rickets

Medications

Antacids

Anticonvulsants

Corticosteroids

Loop diuretics

Malignancy

Prematurity

Diseases of organs associated with vitamin D and calcium metabolism

Kidney disease

Liver and biliary tract disease

Malabsorption syndromes

Celiac disease

Cystic fibrosis (rare)

Information from references 17, 26, and 27.