MANY conditions of disturbed metabolism and disease in children are known to be accompanied by changes in the skeleton that are quite characteristic. Some of these conditions are of rather common occurrence, and in most instances the presence of changes in the skeleton can be predicted with reasonable certainty. In others, the condition is not so apparent and is disclosed only by roentgenologic study. Renal Rickets The roentgenographic appearances of the bones in cases of renal rickets have been described in some detail by Parsons. He divided cases into three kinds: (1) the atrophic type, with fragile, atrophic, osteoporotic appearances, lines of cancellous tissue at the epiphyseal ends of the diaphyses, and a thin atrophic cortex and fractures of the shaft; (2) the florid type, with changes characteristic of florid rickets, and (3) the woolly, stippled, or honeycomb type, with swollen epiphyseal ends of the shaft and a honeycomb, stippled, or woolly appearance of this portion of the bone. The bone looks ...