Rickets diagnosis, X-ray and treatment
Rickets full name is vitamin D deficiency rickets. Rickets is a bone disease that due to lack of vitamin D in infants, children, young people cause calcium and phosphorus metabolism disorders, resulting in a bone disease characterized by systemic, chronic, nutritional diseases. Rickets diagnosis and treatment is important to every child and infant.
The main symptom of rickets is the metaphyseal cartilage and bone tissue on long bone are presents lack of calcification. Vitamin D deficiency causes incomplete calcification in mature bone.
The high risk of this bone disease is 2 years of age (especially 3 to 18 months) infants and young children. Rickets can be prevented via intake vitamin D in this period.
We already introduced the rickets causes and symptoms in another article you may interest.
Blood test and X-ray are important to the rickets diagnosis.
- The alkaline phosphatase increases appeared early phase of rickets and return to the normal value at last. This is conducive to the diagnosis of rickets.
- Determine the level of 25 (OH) D3 or 1,25 (OH) 2D3 in serum. The value of these are close to zero in typical rickets patient blood and there is marked drop in untypical rickets. This is a sensitive and reliable test for rickets.
- The X-ray change has more seen in a long bone in rickets patients. Especially distal of radius, ulnar bone and proximal of tibia and fibula bone.
Rickets treatment and prevention
Once the child was diagnosed as rickets, Treatment should be directed by a doctor. doctors should give a different dose of vitamin D to patients based on the severity of rickets.
After one month’s treatment, the patient should be rechecked the vitamin D level in blood. If the clinical manifestations, blood biochemical and bone X-ray changes are no sign of recovery, should consider differential diagnosis such as vitamin D resistant rickets.
In addition to medicine treatment on rickets, the most important thing is suitable nutrition, adequate protein and vitamin D rich food.
Outdoor activities every day to intake the sunshine and proper exercise can help the bones grow and prevent rickets. But patients family should beware of bone fracture during exercise and daily activity.