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Two cases of fractures in neonates associated with maternofetal vitamin D deficiency

Affiliation:	1. Service de médecine néonatale, CHU de la Conception, AP–HM, 147, boulevard Baille, 13005 Marseille, France;2. Service de pédiatrie multidisciplinaire, CHU de la Timone, AP–HM, 264, rue Saint-Pierre, 13005 Marseille, France;1. Service maternité-obstétrique, hôpital Jean-Minjoz, 3, boulevard Alexandre-Fleming, 25000 Besançon, France;2. Service réanimation néonatale et pédiatrique, hôpital Jean-Minjoz, 3, boulevard Alexandre-Fleming, 25000 Besançon, France;3. Service médecine pédiatrique, hôpital Jean-Minjoz, 3, boulevard Alexandre-Fleming, 25000 Besançon, France;4. Réseau périnatalité de Franche-Comté, hôpital Jean-Minjoz, 3, boulevard Alexandre-Fleming, 25000 Besançon, France;5. Service gynécologie obstétrique, hôpital Jean-Minjoz, 3, boulevard Alexandre-Fleming, 25000 Besançon, France;6. Service gynécologie obstétrique, hôpital Nord Franche-Comté, 100, route de Moval, 90400 Trevenans, France;7. Service réanimation néonatale et pédiatrique, hôpital d’enfants, 14, rue Paul-Gaffarel, 21000 Dijon, France;8. Service maternité obstétrique, hôpital d’enfants, 14, rue Paul-Gaffarel, 21000 Dijon, France;9. Service gynécologie obstétrique, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France;1. Medical Department II, St. Vincent Hospital, Academic Teaching Hospital of the Medical University of Vienna, Vienna, Austria;2. Trauma Center Meidling, Vienna, Austria;3. Division of Endocrinology and Metabolism, Department of Internal Medicine, Medical University of Graz, Graz, Austria;4. Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria;5. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria;6. Department of Medical Documentation and Statistics, Austrian Trauma Insurance Agency (AUVA), Vienna, Austria;7. Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology, and Immunology, Medical University of Vienna, Vienna, Austria;1. Service de néphrologie, rhumatologie et dermatologie pédiatriques, centre de référence des maladies rénales rares, centre de référence des maladies rares du calcium et du phosphore, hôpital Femme-Mère-Enfant, 69500 Bron, France;2. Faculté de médecine Lyon Est, université de Lyon, 69500 Lyon, France;3. Inserm 1033 Research Unit, prévention des maladies osseuses, 69500 Lyon, France;5. Graduate Group in Nutritional Biology, University of California, Davis, Davis, CA;6. Division of Maternal/Fetal Medicine, Davis Medical Center, University of California, Davis, Davis, CA;7. USDA Western Human Nutrition Research Center, Davis, CA;1. Paris Fire Brigade Medical Emergency Department, 1, place Jules-Renard, 75017 Paris, France;2. Délégation aux relations internationales, université Paris-Saclay, hôpital Antoine-Béclère, groupe hospitalo-universitaire (GHU), AP–HP, 157, rue Porte-de-Trivaux, 92140 Clamart, France

Abstract:	Vitamin D supplementation is essential for the entire population, especially during pregnancy and in the pediatric period. We report two case studies of full-term newborns who presented long-bone fractures associated with severe vitamin D deficiency transmitted to them by their mothers, even though maternal supplementation had been implemented according to the existing recommendations. These observations encourage the investigation of neonatal vitamin D deficiency in the presence of long-bone fractures in the absence of traumatic birth and the necessity of reenforcing the means of prevention and the selection of risk groups in order to adjust vitamin D supplementation during pregnancy individually.

Keywords:	Neonatal vitamin D deficiency Hypovitaminosis D Neonatal fracture
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