Rickets

Case contributed by James Harvey
Diagnosis certain

Presentation

Weakness and poor growth.

Patient Data

Age: 2 years
Gender: Male

Right hand

x-ray

Fraying, splaying and cupping of the distal right ulna and radius metaphyses, and growth plate widening. Appearance is consistent with active rickets. 

Case Discussion

This case demonstrates the typical radiographic features of active rickets.

There was a maternal history of vitamin D deficiency in this case. Nutritional vitamin D deficiency was suspected. Serum 25-Hydroxy-Vitamin D was low and parathyroid hormone was elevated.

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