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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

An infant with rickets may present with convulsions or tetany. The child may fail to thrive. On examination the child may be listless and flaccid.

Features of rickets include:

  • craniotabes - soft skull bones in early life
  • delayed closure of the anterior fontanelle
  • thickening of the knees, ankles and wrists
  • Harrison's sulcus
  • prominence of costochondral junctions - "rachitic rosary"
  • bowing of the radius, ulna, femur and tibia
  • proximal myopathy and hypotonia
  • pathological fractures
  • reduced structural growth and bone pain

Reference

Chanchlani R et al. An Overview of Rickets in Children. Kidney Int Rep. 2020 Apr 11;5(7):980-990

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