High alkaline phosphatase but not calcium deficiency why rickets

  Kong Li, Department of Pediatrics, Affiliated Hospital of Jining Medical College: Hello!  Cholvetin lotion and calcium lactate granules can be used together, and lysine glucose-zinc granules are best not used together. The blood calcium may not be low in the early stage of rickets. In general, moderate rickets can be treated with cholvetin milk, the amount of treatment is 15mg each time, depending on the severity of the disease can be taken once a month, the total amount of 1 year does not exceed 60mg (4 sticks). If you are not sure you can take one a month, take one at an interval of one month, and then review the treatment.  Patient: The child is 11 months old with rickets, square cranium, left wrist orthostyle – distal ulna widening, lateral spur formation visible, high sternum is taking cholestyramine lotion, calcium lactate granules, lysine glucose-zinc granules. Why do I get rickets if I don’t have calcium deficiency? Laboratory and test results: Hemoglobin 131 Zinc protoporphyrin 32.00 Alkaline phosphatase 250-300 Copper 12.8 Zinc 60.5 Calcium 1.76 Magnesium 1.77 Iron 8.39 Last seen at: Tianjin Women’s and Children’s Health Center