During the exam, the doctor will gently press on your child's bones, checking for abnormalities. He or she will pay particular attention to your child's:
- Skull. Babies who have rickets often have softer skull bones and may experience a delay in the closure of the soft spots (fontanels).
- Legs. While even healthy toddlers are a little bowlegged, an exaggerated bowing of the legs is common with rickets.
- Chest. Some children with rickets develop abnormalities in their rib cages, which may flatten and cause their breastbones to protrude.
- Wrists and ankles. Children who have rickets often have wrists and ankles that are larger or thicker than normal.
X-rays of the affected bones can reveal bone deformities. Blood and urine tests can confirm a diagnosis of rickets and also monitor the progress of treatment.
Jun. 01, 2013
- Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed March 12, 2013.
- Ferri FF. Ferri's Clinical Advisor 2013: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-08373-7..00002-9&isbn=978-0-323-08373-7&about=true&uniqId=343863096-23. Accessed March 12, 2013.
- Carpenter T. Overview of rickets in children. http://www.uptodate.com/home. Accessed March 12, 2013.
- Carpenter T. Etiology and treatment of calcipenic rickets in children. http://www.uptodate.com/home. Accessed March 12, 2013.
- Gardner DG, et al. Greenspan's Basic & Clinical Endocrinology. 9th ed. New York, N.Y.: The McGraw-Hill Companies; 2011. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=13. Accessed March 12, 2013.
- Vitamin D. Office of Dietary Supplements. http://ods.od.nih.gov/factsheets/VitaminD-QuickFacts. Accessed March 12, 2013.