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         Rickets:     more books (100)
  1. Rickets: the relative importance of environment and diet as factors of causation:: an investigation in London by Harold Charles Corry. Mann, 2009-05-01
  2. Gastrointestinal Problems: Your Questions Answered by John Hebden BScMDFRCP, Mark Donnelly FRCP, et all 2006-06-01
  3. The romance of Emaré, re-edited from the MS., with introduction, notes and glossary ..
  4. Rickets by J. Lawson Dick, 2010-04-04
  5. Malnutrition: Kwashiorkor, Scurvy, Rickets, Food and Agriculture Organization, Coeliac Disease, World Food Programme, Endemic Goitre
  6. Byrsa Basilica: A Latin Academic Comedy of the Early Seventeenth Century by J. Rickets; Edited from Bodleian MS. Tanner 207, with Introduction, Translation and Notes by R.H. Bowers (Materials for the Study of the Old English Drama) by J. Rickets, 1939
  7. Rickets: Comparative Value of Several light sources for cure and prevention
  8. Rickets: Its Causes and Prevention, a Lect by Thomas Carleton Railton, 2010-01-09
  9. Rickets: A Lecture (1885) by Thomas Carleton Railton, 2008-10-01
  10. Rickets: The Relative Importance Of Environment And Diet As Factors Of Causation: An Investigation In London
  11. A particular account, of the rickets in children; and remarks on its analogy to the King's evil: with directions how to cure such diseased infants in an ... Also precepts for the prevention of diseases by W. Farrer, 2010-06-16
  12. The Rickets Name in History by Ancestry.co.uk The Generations Network, 2008-11-01
  13. The Aetiology And Pathology Of Rickets From An Experimental Point Of View by Korenchevsky V, 2010-10-14
  14. Pseudofractures (Hunger Osteopathy, Late Rickets, Osteomalacia) by Louis Arthur MILKMAN, 1930

21. Vitamin D-resistant Rickets
vitamin Dresistant rickets. X-linked progressive limb deformities. xrayless severe changes than other rickets; presents later. DDx features
http://chorus.rad.mcw.edu/doc/00754.html
CHORUS Collaborative Hypertext of Radiology Musculoskeletal system
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vitamin D-resistant rickets
  • X-linked dominant defect in renal tubular resorption of phosphate
  • presents in 1st yr
  • progressive limb deformities
xray:
  • less severe changes than other rickets
  • presents later
DDx features:
  • family hx
  • normal serum calcium
  • marked hypophosphatemia (decreased PO4)
  • no secondary hyperPTH
Charles E. Kahn, Jr., MD - 2 February 1995
Last updated 14 March 2001

Medical College of Wisconsin

22. Rickets Medic-Planet
A description, causes, symptoms, incidence, treatment and prevention.
http://www.medic-planet.com/MP_article/internal_reference/Rickets

23. Alpaca And Llama Health Information
rickets in Alpacas and Llamas Stephen R. Purdy, DVM. Definition 1. ricketsis disease growing babies. Clinical Signs of rickets 1. mildest
http://www.purdyvet.com/rickets.html
Rickets in Alpacas and Llamas
Stephen R. Purdy, DVM Definition: Rickets is disease of the skeletal system of growing alpacas related to inadequate mineralization of bone as a result of a deficiency of calcium, phosphorus, and/or Vitamin D.
The disease in camelids is most likely the result of a combined phosphorus and Vitamin D deficiency according to current research.
Treatment with Vitamin D alone alleviates clinical signs of the disease. Adequate Vitamin D is necessary for proper absorption of both calcium and phosphorus from the intestinal tract, proper mineralization of bones, and prevention of excessive loss of calcium and phosphorus through the kidneys. A deficiency of Vitamin D will therefore result in: inadequate Ca and P absorption from the gut, thereby limiting the amount of bone building substances
inadequate mineralization resulting in a weak bone structure
increased loss of Ca and P also limiting the amount of bone building substances If this Ca and P defect occurs in a period of high demand, such as in the period of high bone mineralization between 3 and 6 months of age, defective bone is the result.

24. Rickets, The Alfred I. DuPont Institute
rickets IN AN ADOPTED CHILD. RICHARD B. ISLINGER, MD, OrthopaedicResident. WILLIAM G. MACKENZIE of her knee. rickets Background
http://gait.aidi.udel.edu/res695/homepage/pd_ortho/educate/clincase/ricket.htm
RICKETS IN AN ADOPTED CHILD
RICHARD B. ISLINGER, M.D., Orthopaedic Resident WILLIAM G. MACKENZIE, M.D., Attending Pediatric Orthopaedic Surgeon July 15,1996 CLINICAL CASE PRESENTATION ORTHOPAEDIC DEPARTMENT THE ALFRED I. DUPONT INSTITUTE WILMINGTON, DELAWARE CASE HISTORY: This patient was first seen here at the age of 2 and 1/2 years. She was referred here with the diagnosis of nutritional rickets. Significant past medical history included the following: She was adopted from Russia and according the Russian medical documents was born to a mother who suffered from alcohol abuse. She was born prematurely (gestational age not available) at 2000gms, 44cm, with an apgar of 5/6. Furthermore, she had previously been diagnosed with encephalopathy, anemia, fetal alcohol syndrome and rickets. - Since arriving here in the U.S., the adopted mother had her on vitamin supplements for 7 weeks. The mother states that the child began walking at the age of 27 months. She was seen by both orthopaedics and pediatrics and her physical exam was as follows: - She was well below the 5th percentile for both height and weight - There was delayed psycho-motor and speech development - Multiple rachitic deformities of the skeleton to include severe bowing of the tibias bilaterally (45 degrees), pigeon chest (pectus carinatum), thickened/widened wrists bilaterally and a trendelenberg gait on the left side.

25. EMedicine - Rickets : Article By Laurence Finberg, MD
rickets rickets is defined as the failure of osteoid to calcifyin a growing person or animal. Failure of osteoid to calcify in
http://www.emedicine.com/ped/topic2014.htm
(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Pediatrics Nutrition
Rickets
Last Updated: April 2, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: infantile osteomalacia, juvenile osteomalacia, rachitis AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography
Author: Laurence Finberg, MD , Clinical Professor, Department of Pediatrics, University of California at San Francisco and Stanford University Laurence Finberg, MD, is a member of the following medical societies: American Medical Association Editor(s): Steven Schwarz, MD , Chairman, Department of Pediatrics, Long Island College Hospital; Professor of Pediatrics, State University of New York Downstate Medical Center; Robert Konop, PharmD , Clinical Assistant Professor, Department of Pharmacy, Section of Clinical Pharmacology, University of Minnesota; Jatinder Bhatia, MD

26. EMedicine - Hypophosphatemic Rickets : Article By Karl S Roth, MD
Hypophosphatemic rickets The term rickets evolved from the old English word wrick,meaning to twist. Hypophosphatemic rickets. Last Updated January 11, 2002,
http://www.emedicine.com/ped/topic1128.htm
(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Pediatrics Endocrinology
Hypophosphatemic Rickets
Last Updated: January 11, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: familial hypophosphatemic rickets, vitamin D-resistant rickets AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography
Author: Karl S Roth, MD , Chair, Professor, Department of Pediatrics, Creighton University School of Medicine Coauthor(s): James CM Chan, MD , Chair, Professor, Department of Pediatrics, Division of Nephrology, Medical College of Virginia and Virginia Commonwealth University Karl S Roth, MD, is a member of the following medical societies: Alpha Omega Alpha American Academy of Pediatrics American Association for the Advancement of Science American College of Nutrition ... Sigma Xi , Society for Pediatric Research, and Southern Society for Pediatric Research Editor(s): Arlan L Rosenbloom, MD

27. Rickets
rickets is a failure of the proper development (mineralization) of growing bone. Rapidgrowth in low birthweight infants predisposes them to rickets.
http://members.aol.com/jaronmink/rickets.htm
Rickets in Chinese Children Rickets is a failure of the proper development (mineralization) of growing bone. It is probably present in 100% of all children adopted from China, even when it is not apparent to the observer. The predominant cause of rickets in orphanages abroad is nutritional deficiency of vitamin D due either to inadequate direct exposure to ultraviolet rays in sunlight or to inadequate intake of vitamin D, or both. Sunlight is necessary for the formation of vitamin D in the human body and vitamin D is necessary to make bone in the human body. Inadequate calcium and phosphorus in a child's diet also contributes to the development of rickets. When a child first arrives from China, rickets can be diagnosed by a skilled pediatrician who performs a thorough physical exam and orders a blood test called a "rickets screen" . The rickets screen consists of alkaline phosphatase, calcium, and phosphorus. The calcium, phosphorus, and alkaline phosphatase levels in the blood may help support the diagnosis of rickets. The child with mild rickets may have no abnormalities in the rickets screen and a normal diet will effectively reverse any weakness in bones and muscles. If the child has bow legs, raised bony bumps along the ribs (rachitic rosaries), frontal bossing of the skull, and other deformities of the bones, rickets might be the cause. Some children have no obvious bony deformities, but still may have weak bones and

28. Rickets
rickets. Alternative names osteomalacia in children; deficiency vitamin D; renalosteodystrophy; pediatric osteomalacia; vitamin D deficiency; renal rickets.
http://www.geocities.com/nutriflip/Diseases/Rickets.html
Go Back Nutrition for a Living Planet - Home Page
Rickets
A disorder involving softening and weakening of the bones of children, primarily caused by lack of vitamin D and/or lack of calcium or phosphate. Alternative names: osteomalacia in children; deficiency - vitamin D; renal osteodystrophy; pediatric osteomalacia; vitamin D deficiency; renal rickets The pathogenesis of nutritional rickets is not well-understood. While the etiologies include deficiencies of vitamin D, calcium (Ca) or phosphate (PO4), and perhaps aluminium toxicity, the role these nutrients play in the development of tissue level anomalies characteristic of rachitic cartilage and bone has yet to be defined. Rickets is a disorder caused by insufficiency or inefficient action of activated vitamin D in the body during childhood, a lack of vitamin D in the diet or with malabsorption disorders characterized by poor fat absorption, including steatorrhea, sprue, and short bowel syndrome. Vitamin D is a fat-soluble vitamin that may be absorbed from the intestines or may be produced by the skin when the skin is exposed to ultraviolet light (particularly sunlight).It is converted to its active form by the body in 2 steps, occurring first in the liver and completed in the kidneys. In its active form, vitamin D acts as a hormone to regulate calcium absorption from the intestine and to regulate levels of calcium and phosphate in the bones. Active vitamin D is assisted by the actions of other body hormones.

29. Rickets-Printer Friendly Version
rickets. Overview. osteomalacia in children; deficiency vitamin D; renal osteodystrophy;pediatric osteomalacia; vitamin D deficiency; renal rickets Definition.
http://www.geocities.com/cheeaungroup2001/print/RicPrint.htm
URL: http://www.nutrientdiseases.cjb.net/
Email: cheeaungroup@nutrientdiseases.cjb.net
webmaster@nutrientdiseases.cjb.net
Rickets
Overview
Alternative names
osteomalacia in children; deficiency - vitamin D; renal osteodystrophy; pediatric osteomalacia; vitamin D deficiency; renal rickets
Definition
A disorder involving softening and weakening of the bones of children, primarily caused by lack of vitamin D and/or lack of calcium or phosphate.
Causes, incidence, and risk factors
Rickets is a disorder caused by insufficiency or inefficient action of activated vitamin D in the body during childhood. Vitamin D is a fat-soluble vitamin that may be absorbed from the intestines or may be produced by the skin when the skin is exposed to ultraviolet light (particularly sunlight). It is converted to its active form by the body in 2 steps, occurring first in the liver and completed in the kidneys. In its active form, vitamin D acts as a hormone to regulate calcium absorption from the intestine and to regulate levels of calcium and phosphate in the bones. Active vitamin D is assisted by the actions of other body hormones.
Because vitamin D is fat soluble, conditions that reduce digestion or absorption of fats will decrease the ability of vitamin D to be absorbed from the intestines. Sunlight is important to skin production of vitamin D, and environmental conditions where sunlight exposure is limited may reduce this source of vitamin D. Lack of vitamin D production by the skin may occur with indoor confinement or working indoors during the daylight hours, or it may occur in climates with little exposure to sunlight.

30. Deftones - Rickets Lyrics
rickets it's so simple to look at every little thing i do wrong it'sso simple to overlook every little thing i do right i think
http://www.thedeftones.com/lyrics/atf/rickets.htm
Rickets it's so simple to look at every little thing i do wrong
it's so simple to overlook every little thing i do right
i think too much i feed too much im gone too much i skate too much i snore too much im blowin too much, i ate too much im way too much too stuck up
you're probably right this time
but i dont want to listen
you're probably this time
but i dont even care
i dream too much i think too much i step too much those things too much i am too much im pissed too muchi need too muchi kinda want to throw!!
you're probably right this time
but i dont want to listen
you're probably this time but i dont even care and if it was mine to say, i wouldn't say it and if it was mine to say, i wouldn't speak I DRINK TO MUCH I THINK TO MUCH I STEP TO MUCH THOSE THINGS TOO MUCH I AM TO MUCH IM PISSED TO MUCH I NEED TO MUCH I AM NOT ONE TO TRUST you're probably right this time but i dont want to listen you're probably right this time but i dont even care and if it was mine to say, i wouldn't say it and if it was mine to say, i wouldn't speak

31. Www.thedeftones.com/tabs/rickets.txt
rickets by Deftones All pitches sound one half step lower thanwritten. Dropped D tuning onehalf step down Intro D3-2-0-3-2
http://www.thedeftones.com/tabs/rickets.txt
"Rickets" by Deftones All pitches sound one half step lower than written. Dropped D tuning one-half step down Intro D3-2-0-3-2-0-3-0-6-6-6-1-1-1 A3-2-0-3-2-0-3-0-6-6-6-1-1-1 D3-2-0-3-2-0-3-0-6-6-6-1-1-1 Verse D2-0-0-2-0-0-2-0-0 A2-0-0-2-0-0-2-0-0 D2-0-0-2-0-0-2-0-0 Small breakdown bit G8-8-8-6-6-6-6-6 D8-0-0-8-0-0-8-0-6-6-6-6-6 A6-0-0-6-0-0-6-0-4-4-4-4-4 D0-0-0-0-0

32. Rickets And Neandertals
rickets and Neandertals. Enter rickets into a web search engine, andyou'll find more than you probably ever wanted to know about it.
http://www.talkorigins.org/faqs/homs/rickets.html
Rickets and Neandertals
If, as creationist Marvin Lubenow claims in Bones of Contention , rickets is virtually an unknown disease nowadays, why is it so easy to get information about it, along with X-rays of modern cases? Enter "rickets" into a web search engine, and you'll find more than you probably ever wanted to know about it. (Lubenow, like many creationists, claims that Neandertals are normal humans afflicted with diseases such as rickets)
Answers to Unknown Case 42
A page on rickets used as teaching material for radiology. It contains a detailed description of rickets along with photos. The text makes it clear that the author has encountered cases of rickets.
How to Prevent Rickets in Breastfed Babies
Public health information from Seattle, where the low amount of sunlight increases the risk of rickets.
More rickets cases (in French)
More teaching material, this time from the University of Rennes.
Vitamin D Metabolism and Rickets
An information and support page on rickets, by a medical researcher
Rickets at Yahoo Disney Encyclopedia of Children's Health Health Central: Bone disease on the rise Medic Planet: Rickets ... Rickets case study
Although rickets is certainly an uncommon disease nowadays, these pages demonstrate that rickets is not only well known to the medical profession, but routinely taught to medical students. Many medical textbooks (and veterinary ones; animals get rickets too) have a description of it.

33. ENLmedical.com: Conditions And Concerns: Medical Encyclopedia: Rickets
rickets. Causes and Risks rickets is a disorder caused by insufficiency orinefficient action of activated vitamin D in the body during childhood.
http://www.enlmedical.com/article/000344.htm

Medical Dictionary

Naturapathic Glossary

Aphrodisiacs

Immune System
... Table of content
Rickets
Causes and Risks:
Rickets is a disorder caused by insufficiency or inefficient action of activated vitamin D in the body during childhood. Vitamin D is a fat-soluble vitamin that may be absorbed from the intestines or may be produced by the skin when the skin is exposed to ultraviolet light (particularly sunlight). It is converted to its active form by the body in 2 steps, occurring first in the liver and completed in the kidneys. In its active form, vitamin D acts as a hormone to regulate calcium absorption from the intestine and to regulate levels of calcium and phosphate in the bones. Active vitamin D is assisted by the actions of other body hormones.
Because vitamin D is fat soluble, conditions that reduce digestion or absorption of fats will decrease the ability of vitamin D to be absorbed from the intestines. Sunlight is important to skin production of vitamin D, and environmental conditions where sunlight exposure is limited may reduce this source of vitamin D. Lack of vitamin D production by the skin may occur with indoor confinement or working indoors during the daylight hours, or it may occur in climates with little exposure to sunlight.
When the body is deficient in vitamin D, it is unable to properly regulate calcium and phosphate levels. If the blood levels of these minerals becomes low, the other body hormones may stimulate release of calcium and phosphate from the bones to the bloodstream.

34. Rickets/Osteomalacia
Children with rickets have abnormal bone formation resulting from inadequatecalcium in their bones. Damage to either organ can cause rickets.
http://www.healthwell.com/healthnotes/Concern/Rickets.cfm
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35. Rickets - Treatment And Information
Help and information on rickets or osteomalacia including alternativeherbal and nutritional treatment for children and adults. rickets.
http://www.go-symmetry.com/health/rickets.htm
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Rickets Rickets also known as osteomalacia are two terms for the disorder caused by vitamin D deficiency. In children, this disease is called rickets, and results either from inadequate intake of vitamin D or from too little exposure to sunlight (sunlight causes vitamin D to be synthesized in the skin). The lack of vitamin D in turn affects the body's ability to absorb calcium and phosphorus. Early signs include nervousness, painful muscle spasms, leg cramps, and numbness in the extremities. Ultimately, bone malformations may develop due to softening of the bones-bowed legs, knock-knees, scoliosis (abnormal curvature of the spine), a narrow rib cage, a protruding breastbone, and/or beading at the ends of the ribs as well as decaying teeth, delayed walking, irritability, restlessness, and profuse sweating. ... more Nutrient / Supplement Importance
Helpful notes Multi-vitamin and Mineral supplement contains vitamin D and vitamin B complex, folic acid, vitamin E, vitamin A, vitamin C, manganese, vitamin B complex, calcium, copper, and zinc. These help in both the treatment and the prevention of anemia as well as good general balanced health. Boron aids with calcium absorption Calcium needed to re-mineralize the bones (see Calcium Coverage below) Phosphorus mineral needed for bone and teeth formation vitamin B12 also known as cyanocobalamin, Often needed when malsorption is a problem. It aids folic acid in regulating the formation of red blood cells, and helps in the utilization of iron.

36. Rickets
rickets,, Print this article, Defective mineralization is manifested as ricketsin the immature skeleton and as osteomalacia in the mature skeleton.
http://www.amershamhealth.com/medcyclopaedia/Volume III 1/rickets.html
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*For Medical Professionals only, registration required Rickets, a bone disorder or group of clinical syndromes resulting from inadequate or delayed mineralization of osteoid in mature cortical and spongy bone, leading to interruption in orderly development and mineralization of the growth plate. Defective mineralization is manifested as rickets in the immature skeleton and as osteomalacia in the mature skeleton. Although rickets and osteomalacia are distinct disorders, prior to growth plate fusion they coexist. The rachitic and osteomalacic syndromes display remarkably similar histologic and radiographic features. In the growth plate several developmental zones can be identified: reserve zone;

37. Rickets
Professionals only. rickets,, Print this article, metabolic bone Thereare many varied causes of rickets. Vitamin D deficient rickets
http://www.amershamhealth.com/medcyclopaedia/Volume VII/rickets.html
Medcyclopaedia About Medcyclopaedia Amersham Health Search for: Type a word or a phrase.
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Browse entry words starting with: A B C D ... Other characters
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*For Medical Professionals only, registration required Rickets, metabolic bone disease characterized by disorganized and defective mineralization of bone at the physis. There are many varied causes of rickets. Vitamin D deficient rickets may result from inadequate dietary intake of vitamin D, lack of sun exposure or gastrointestinal conditions which reduce the absorption of vitamin D from the gastrointestinal tract. Rickets may also be seen with any cause of chronic renal disease ( renal osteodystrophy ). Some forms of rickets are resistant to the usual treatment doses of vitamin D, these are grouped together as vitamin D-resistant rickets. They include primary hypophosphataemia due to defective renal resorption of phosphate, failure of production of 1,25 dihydroxy vitamin D, end-organ insensitivity to 1,25 dihydroxy vitamin D and renal tubular acidosis. The clinical presentation of rickets is usually with irritability, bone pain and tenderness. Examination may show short stature with swollen wrists and ankles, bowed legs, delayed dentition and prominence of the frontal bones. Examination of the chest may reveal a "rickety rosary" due to enlargement of the costal cartilages (

38. Rickets And Prematurity
rickets and osteopenia of preemies, preterm infants, premature childrenand rickets. rickets and Osteopenia of Prematurity. By Helen Harrison.
http://www.prematurity.org/research/helen-rickets.html
Rickets and Osteopenia of Prematurity
By Helen Harrison Approximately 50% of very low birthweight infants develop "osteopenia of prematurity" (decreased bone density) with rickets (demineralized bones with a predominance of uncalcified bone matrix) which in turn may lead to traumatic or non-traumatic(i.e. spontaneous) fracture. Osteopenia may become quite serious and contribute to other medical problems. One of the most startling and haunting passages from the book, "The Long Dying of Baby Andrew" involved the note written in Baby Andrew's chart by the radiologist saying the only time he had seen more fractures was in an airforce crash victim! This was in a 26 week preemie who never left the NICU. One of the reasons the neonatologists cited for Andrew's inability to be successfully weaned from the ventilator was that with all his fractured ribs "it hurts like hell each time he takes a breath." Ricketsand/or osteopenia (which are not exactly the same, but usually go together in preemies) are characterized by low levels of calcium and phosphate and high levels of serum alkaline phosphotase. Low levels of Vitamin D or inability of preemies to properly metabolize Vitamin D contribute to bone abnormalities and fractures. Lack of trace elements, such as copper sulfate may play a role as well.

39. 1Up Health > Rickets > Causes, Incidence, And Risk Factors Of Rickets (Osteomala
Comprehesive information on rickets (Osteomalacia in children, Renal rickets, Vitamin D deficiency). rickets Causes, Incidence, and Risk Factors.
http://www.1uphealth.com/health/rickets_info.html
1Up Health Rickets Alternative Medicine Clinical Trials ... Health Topics A-Z Search 1Up Health Rickets Information Rickets Causes, Incidence, and Risk Factors Alternative names : Osteomalacia in children, Renal rickets , Vitamin D deficiency Definition : Rickets is a childhood disorder involving softening and weakening of the bones, primarily caused by lack of vitamin D , calcium, and/or phosphate.
Causes, Incidence, and Risk Factors
Vitamin D may be absorbed from food by the intestines or may be produced by the skin when the skin is exposed to sunlight. In its active form, vitamin D acts as a hormone to regulate calcium absorption from the intestine and to regulate levels of calcium and phosphate in the bones. Sunlight is important to skin production of vitamin D, and environmental conditions where sunlight exposure is limited may reduce this source of vitamin D. Lack of vitamin D production by the skin may occur with indoor confinement or working indoors during the daylight hours, or in climates with little exposure to sunlight. Because vitamin D is a fat-soluble vitamin, conditions that reduce digestion or absorption of

40. Rickets
rickets. Definition Osteomalacia in children; Deficiency Vitamin D; Renal osteodystrophy;Pediatric osteomalacia; Vitamin D deficiency; Renal rickets.
http://www.pennhealth.com/ency/article/000344.htm
Disease Injury Nutrition Poison ... Prevention
Rickets
Definition: Rickets is a childhood disorder involving softening and weakening of the bones, primarily caused by lack of vitamin D , calcium, and/or phosphate.
Alternative Names: Osteomalacia in children; Vitamin D deficiency; Renal rickets
Causes, incidence, and risk factors: Vitamin D may be absorbed from food by the intestines or may be produced by the skin when the skin is exposed to sunlight. In its active form, vitamin D acts as a hormone to regulate calcium absorption from the intestine and to regulate levels of calcium and phosphate in the bones. Sunlight is important to skin production of vitamin D, and environmental conditions where sunlight exposure is limited may reduce this source of vitamin D. Lack of vitamin D production by the skin may occur with indoor confinement or working indoors during the daylight hours, or in climates with little exposure to sunlight. Because vitamin D is a fat-soluble vitamin, conditions that reduce digestion or absorption of fats will decrease the ability of vitamin D to be absorbed from the intestines.

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