Abstract
Background: There are different types of rickets. Rickets presents with various clinical signs and symptoms. Familial X linked hypophosphatamic rickets (XLHR) is reported to be the commonest one. Objectives: To find out the types of rickets and the presenting features of rickets. Setting: Department Paediatrics, Bangabandhu Sheikh Mujib Medical University (BSMMU). Design: Descriptive type of study. Methods: A total number of 20 children with rickets were included in this study during the period of January 2004 to July 2008. A questionnaire was used for compiling the information. Data were compiled manually and expressed as frequency distribution table. Result: Male: Female ratio was 13:7. Mean age of the patients was 49.36 months. Nutritional and familial hypophosphatamic rickets constituted the majority, each of the type being 40%. Common clinical presentations included limb weakness (90%), growth failure (90%) and repeated respiratory tract infection (80%). Widening of the wrist were present in 90% of patients. Rachitic rosary and protruded abdomen were present in 80% of cases. Radiological findings of rickets were present in 100% of patients. Conclusion: Nutritional and XLHR rickets were the common type. Common clinical features were weakness of limbs, growth failure and widening of wrists. Key words: Rickets; nutritional; XLHR; RTA.DOI: 10.3329/bsmmuj.v2i1.3703 BSMMU J 2009; 2(1): 3-7
Highlights
Rickets result from the failure of osteid tissue to calcify in growing bone
X linked hypophosphatamic rickets (XLHR) is synonymous with vitamin D resistant rickets
Patients and Methods It was a descriptive type of study conducted in the department of paediatrics, Bangabandhu Sheikh Mujib Medical University (BSMMU)
Summary
Rickets result from the failure of osteid tissue to calcify in growing bone. Counter part of this abnormality in adult is called osteomalacia.[1] The term is derived from the old English word “twist” or “wrick” and throughout the history, children with rickets could be identified by their bowed legs and knocked knees.[2] The typical clinical pictures of rickets include delayed growth, widening and bowing of weight bearing bones, tooth enamel hypoplasia, muscle hypotonia and even tetany.[3,4,5] There are various types or rickets, including vitamin D disorders, familial cause, renal cause and others[6]. XLHR is synonymous with vitamin D resistant rickets. Factors that may limit sun exposure in children include use of sunscreens, increased indoor activities, industrial pollution, living in slum areas, wearing
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