Rickets / Paediatric Osteomalacia


http://www.medindia.net/patients/patientinfo/images/bullet.jpg Environmental conditions where sunlight exposure is limited like indoor confinement or working indoors during daylight hours may reduce source of vitamin D.

 A lack of vitamin D in the diet.

 Problem of malabsorption called steatorrhea, in which the body is unable to absorb fats, and they are passed directly out the body in the stool. The result of this problem is that Vitamin D, which is usually absorbed with fat, and calcium are poorly absorbed. This poor absorption can be a result of digestive disorders. Steatorrhea could also lead to other deficiencies.

 Due to tubular acidosis in which there is an increased amount of acid in the body fluids as a result of congenital or acquired kidney disorders.

 A dietary lack of calcium and phosphorous may also play a part in nutritional causes of rickets.

 A dietary lack of vitamin D may occasionally occur in people on a vegetarian diet who do not drink milk products or in people who are lactose intolerant (have trouble digesting milk products).

What are the symptoms associated with rickets?

 Pain in the bones of Arms, Legs, Spine, Pelvis.
 Skeletal deformities including Bow legs, Forward projection of the breastbone (pigeon chest or pectus carinatum), Funnel chest (pectus excavatum), "Bumps" in the rib cage (rachitic rosary) and Asymmetrical or odd-shaped skull.
 Spine deformities (spine curves abnormally, including scoliosis or kyphosis).

 Pelvic deformities.

 Increased tendency toward bone fractures.

 Dental deformities.



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