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Ray D et al. – Among the immediate family members of patients with OSM/rickets, female sibs have features of biochemical OSM in up to 24·4%. Female sibs, unlike male sibs, share with patients features of markedly low serum 25(OH)D levels, poor dietary calcium intake and poor exposure to sunshine. Genetic factors such as VDR and PTH gene SNPs were not associated with OSM/rickets.

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