What are the signs and symptoms of dietary rickets?

Updated: Jun 19, 2020
  • Author: Horacio B Plotkin, MD, FAAP; Chief Editor: Jatinder Bhatia, MBBS, FAAP  more...
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Answer

Answer

In infants, clinical features of hypocalcemia and hyperphosphatemia include seizures, apnea, and tetany. In children, clinical features of rickets include the following (see the images below):

  • Delayed motor milestones

  • Hypotonia

  • Enlargement of wrists

  • Progressive bowing of long bones

  • Rachitic rosary

  • Harrison sulcus

  • Violin case deformity of the chest

  • Late closure of anterior fontanelle

  • Parietal and frontal bossing

  • Craniotabes

  • Craniosynostosis

  • Delay in teeth eruption

  • Enamel hypoplasia

  • Decreased bone mineral density

  • Myopathy with normal deep tendon reflexes

  • Propensity for infections - As a consequence of impaired phagocytosis and neutrophil motility

    Radiograph in a 4-year-old girl with rickets depic Radiograph in a 4-year-old girl with rickets depicts bowing of the legs caused by loading.
    Findings in patients with rickets. Findings in patients with rickets.

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