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小明,18个月大的男孩,足月剖腹产,出生体重3.2千克,奶粉喂养。出生后13个月开始学走路,近2个月经其他家长提醒后,小明妈妈发现儿子走路与其他小孩不同,行路时左右摇摆,故来就诊。医生对小明进行了体检:体重9.5千克,身高82.5厘米,前囟平,未闭合,大小0.5×0.5厘米,心脏和肺部正常,肋骨外翻,双下肢呈“O”型。实验室检测血碱性磷酸酶升高,25羟维生素D水平较低。医
Xiao Ming, 18-month-old boy, full-term caesarean section, birth weight 3.2 kg, milk powder feeding. 13 months after birth began to learn to walk, nearly two months after remind by other parents, Xiao Ming mother found his son to walk with other children is different, the road swinging around, so come to see a doctor. The doctor conducted a medical examination on Xiao Ming: weighing 9.5 kg and height of 82.5 cm. The anterior fontanelle was flat and unclosed. The size was 0.5 × 0.5 cm. The heart and lungs were normal. The ribs were valgus. The lower extremities showed “O” shape. Laboratory tests elevated blood alkaline phosphatase, 25 low levels of vitamin D. medical