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==Causes==
==Causes==
# Causes of Nutritional Rickets
# Causes of Nutritional Rickets
## Vitamin D deficeincy  
## Vitamin D deficeincy<ref name="pmid20526242">{{cite journal| author=Unuvar T, Buyukgebiz A| title=Nutritional rickets and vitamin D deficiency in infants, children and adolescents. | journal=Pediatr Endocrinol Rev | year= 2010 | volume= 7 | issue= 3 | pages= 283-91 | pmid=20526242 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20526242  }} </ref>
     * Lack of supplementation for breast feeding infants
     * Lack of supplementation for breast feeding infants
     * Darker skin color
     * Darker skin color
     * poor sunlight exposure
     * poor sunlight exposure
     * Poor vit D intake of lactating mothers
     * Poor vit D intake of lactating mothers<ref name="pmid17951482">Bodnar LM, Catov JM, Roberts JM, Simhan HN (2007) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=17951482 Prepregnancy obesity predicts poor vitamin D status in mothers and their neonates.] ''J Nutr'' 137 (11):2437-42. [http://dx.doi.org/10.1093/jn/137.11.2437 DOI:10.1093/jn/137.11.2437] PMID: [https://pubmed.gov/17951482 17951482]</ref>
     * High latitude
     * High latitude
     * full boding clothing
     * full boding clothing
     * restricted intake
     * restricted intake
## Calcium Deficincy
## Calcium Deficincy<ref name="pmid25341870">{{cite journal| author=Pettifor JM| title=Calcium and vitamin D metabolism in children in developing countries. | journal=Ann Nutr Metab | year= 2014 | volume= 64 Suppl 2 | issue=  | pages= 15-22 | pmid=25341870 | doi=10.1159/000365124 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25341870  }} </ref>
     * poverty
     * poverty
     * malnutrition
     * malnutrition

Revision as of 09:25, 3 June 2020

"sandbox:MAH"

Rickets Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Rickets from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

MAH On the Web

Most recent articles

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Echo & Ultrasound
CT Images
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Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

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CDC on MAH

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Blogs on MAH

Directions to Hospitals Treating Rickets

Risk calculators and risk factors for MAH

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Rickets Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Rickets from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

MAH On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of MAH

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on MAH

CDC on MAH

MAH in the news

Blogs on MAH

Directions to Hospitals Treating Rickets

Risk calculators and risk factors for MAH

Overview

Rickets is a bony disease due to decreased mineralization of growth plate, associated with abnormal serum calcium and phosphate level[1]. This leads to softening of bones.Rickets is more common in children especially in developing countries due to malnutrition and famines. It can also occur in adults and similar presentation in adults is termed as osteomalacia. The origin of the word "rickets" is unknown. The Greek derived word "rachitis" (meaning "inflammation of the spine") was later adopted as the scientific term for rickets, due chiefly to the words' similarity in sound.

Historical Perspective

Classification

There are 3 types of rickets

  1. Nutritional Rickets (due to deficiency of Vit D, calcium, and phosphorous)
  2. Vitamin D dependent rickets (due to defective metabolism of vitamin D)
  3. Vitamin D resistant rickets (hypophosphatemic rickets due renal phosphate wasting)

Pathophysiology

Physiology

Pathogenesis

Causes

  1. Causes of Nutritional Rickets
    1. Vitamin D deficeincy[2]
   * Lack of supplementation for breast feeding infants
   * Darker skin color
   * poor sunlight exposure
   * Poor vit D intake of lactating mothers[3]
   * High latitude
   * full boding clothing
   * restricted intake
    1. Calcium Deficincy[4]
   * poverty
   * malnutrition
   * intake of competing Oxalate and phosphate intake
   * extensive breast feeding without complementary calcium containing supplements(extensive breast feeding could be partially protective if no other calcium containing foods source available)

Genetics

Associated Conditions

Gross Pathology

Microscopic Pathology

References

  1. Shore RM, Chesney RW (2013). "Rickets: Part I." Pediatr Radiol. 43 (2): 140–51. doi:10.1007/s00247-012-2532-x. PMID 23208530.
  2. Unuvar T, Buyukgebiz A (2010). "Nutritional rickets and vitamin D deficiency in infants, children and adolescents". Pediatr Endocrinol Rev. 7 (3): 283–91. PMID 20526242.
  3. Bodnar LM, Catov JM, Roberts JM, Simhan HN (2007) Prepregnancy obesity predicts poor vitamin D status in mothers and their neonates. J Nutr 137 (11):2437-42. DOI:10.1093/jn/137.11.2437 PMID: 17951482
  4. Pettifor JM (2014). "Calcium and vitamin D metabolism in children in developing countries". Ann Nutr Metab. 64 Suppl 2: 15–22. doi:10.1159/000365124. PMID 25341870.