Title
Two cases of rickets presenting with poor growth, hypotonia, and respiratory problems
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Gent ,
Subject
Human medicine
Source (journal)
Acta clinica Belgica. - Gent, 1997, currens
Volume/pages
70(2015) :3 , p. 211-214
ISSN
1784-3286
ISI
000356789800010
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Rickets is a rare disease in developed countries. In children, it is a disease which affects growing bone. Depending on the severity, it can present with a wide variety of symptoms. Because it is such a rare disease in developed countries, symptoms suggesting rickets are often not easily recognized. This can cause a delay in diagnosing and treating rickets. Often unnecessary and sometimes invasive investigations are performed. First leading clues to rickets on physical examination are poor growth, especially length, thickening of wrists, bow legs, and craniotabes. At further examination, special attention should be paid to osteopenia and cupping and fraying at the metaphyses on X-rays. Laboratory results suggestive for rickets are elevated alkaline phosphatase and disturbances in calcium and phosphate homeostasis. In this report, we present two cases presenting with poor growth, severe pain, and respiratory problems secondary to calcipenic rickets.
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Full text (open access)
https://repository.uantwerpen.be/docman/irua/d93dbf/127043.pdf
Handle