Rickets

Case contributed by Iqbal Naseem
Diagnosis almost certain

Presentation

Child presented with malnutrition and failure to thrive.

Patient Data

Age: 1.5 years
Gender: Male
x-ray

Radiographs wrist joints show cupping and flaring of distal radius and ulna with increased zone of provisional ossification.
Lower limbs show bowing.

Case Discussion

Rickets is due to mainly nutritional deficiency of vitamin D.

Flaring-cupping of distal radius and ulna and genu valgum are characteristic findings of rickets.

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