Rickets / Paediatric Osteomalacia


 Delayed formation of teeth.

 Defects in the structure of teeth, holes in the enamel.

 Increased incidence of cavities in the teeth (dental caries).

 Progressive weakness.

 Decreased muscle tone (loss of muscle strength).

 Muscle cramps.

 Impaired growth.

 Short stature (adults less than 5 feet tall) .

 Fever or restlessness, especially at night.


How is rickets diagnosed?

A blood test may be done to measure the amounts of the minerals calcium and phosphorus. X-rays of the affected bones are obtained and a musculoskeletal examination reveals tenderness or pain of the bone itself, rather than in the joints or muscles. In some occasions, a bone biopsy, in which a small sample of bone tissue is removed for analysis, also may be needed to confirm the diagnosis.

Other tests that are helpful in diagnosing rickets are:

1. PTH
2. Urine calcium
3. Calcium (ionized)
4. ALP (alkaline phosphatase) isoenzyme




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