Deficient intake of minerals |
Inadequate calcium intake |
Inadequate phosphate intake |
Poor absorption of minerals |
Vitamin D deficiency |
25-hydroxylase deficiency |
1-alpha-hydroxylase deficiency (previously called vitamin D-dependent rickets type I or pseudovitamin D deficiency) |
Hereditary resistance to vitamin D (previously called vitamin D-dependent rickets type II) |
High phytin content (eg, soy formula) |
Antacids |
Antiseizure medications (eg, phenytoin, phenobarbital) |
Renal insufficiency |
Fanconi syndrome |
Hepatic insufficiency |
Fat malabsorption (eg, cystic fibrosis) |
Neocate brand formula (an elemental formula designed for children with multiple food allergies) |
Increased excretion of minerals |
Furosemide |
Renal tubular dysfunction |
Phosphaturia (eg, X-linked hypophosphatemic rickets, hereditary hypophosphatemic rickets with hypercalcuria, tumor-induced osteomalacia) |
Renal tubular acidosis with hypercalciuria |
Renal tubular damage (eg, cystinosis, tyrosinosis, galactosemia, fructose intolerance, Wilson disease, lead poisoning, other heavy metal poisoning) |
Tumors |
Local defect of bone cells |
Hypophosphatasia (alkaline phosphatase deficiency) |