Rickets-A Case Report
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Abstract
Rickets is a disease of growing bones caused by unmineralized matrix at the growth plates in children only before fusion of the epiphyses. Because growth plate cartilage and osteoid continue to expand but mineralization is inadequate, the growth plate thickens. On examination there was box shaped head, closed fontanelles and cranial sutures, bowed legs and waddling gait. On investigation, Serum calcium decreased, serum phosphate decreased, serum Vitamin D decreased, serum alkaline phosphatase increased and normal serum creatinine & SGPT.X-Ray of the knee, ankle and wrists show splaying, cupping and fraying of the metaphysis of the long bones with widening of the growth plates resulting slight bowing of the femur and tibia. The patient was treated with Vitamin D. Stoss therapy of Vit D 400,000 IU was given by intramuscular route in 4 divided doses over 1day. This is followed by Vit D 600 IU daily and oral calcium 500mg daily for 3 months. Orthopedic BRACE was advised after radiological healing of bone.
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References
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