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Zusammenfassung

Eine Aufgliederung der kindlichen Osteopathien im Hinblick auf ätiopathogenetische Faktoren ist problematisch. Die möglichen Störungen, die sich am kindlichen, d. h. am wachsenden Skelett bemerkbar machen, sind sehr vielgestaltig. Gerade die neueren Erkenntnisse auf verschiedenen Grenzgebieten lassen eine kausalorientierte Einteilung in ernährungs- und stoffwechselbedingte Osteopathien, wie sie zunächst für dieses Kapitel des Handbuches konzipiert worden war, nicht mehr ratsam erscheinen. Während z.B. die Rachitis früher als eine vorwiegend exogene, ernährungsbedingte Erkrankung galt, weiß man heute, daß rachitische Veränderungen uneinheitliche Ursachen haben, und daß etwa bei der einfachen sog. Vitamin-D-Mangelrachitis die pathogenetisch wirksamen Faktoren Hormone sind (Man spricht heute vielfach vom „Vitamin-D-Hormon“). Es gibt rachitische Knochenveränderungen schwerster Art, die auf Substitution von Vitamin D in üblicher Dosierung nicht reagieren; mitunter kann eine echte Erbkrankheit mit Bindung an das X-Chromosom vorliegen.

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© Springer-Verlag Berlin Heidelberg 1983

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  • I. Greinacher

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