Sequelae of rickets

The main symptoms of rickets are vitamin D deficiency, absorption disorders, insufficient nutrient intake and some other types of diseases, which can lead to calcium deficiency in the body or some bone changes. The main prominent manifestations are rickets in children and bone softening in adults. Its side effects are also very high, affecting the neuromuscular modeling and immune system, and seriously affecting the growth of infants.

Rickets in daily life will cause some sequelae, the main manifestation of which is bone deformity and it is irreversible. At the same time, the main key to bone deformity in daily life is that it no longer continues to move forward, so you must pay attention to it in daily life.

Late-onset rickets: more common in northern temperate zones. It is common in late winter and early spring in children aged 5 to 15 years. Insufficient sunlight exposure and insufficient vitamin D intake are associated with faster growth or rapid height gain. Clinical manifestations include fatigue in walking, pain in the lower limbs, especially pain in the knees, ankles or heels, and frequent complaints of gastrocnemius spasms. In addition, there are symptoms such as excessive sweating and disturbed sleep. Patients with a long course of illness may have lower limb deformities ("O"-shaped or "X"-shaped legs), and a few may have chest deformities such as rib valgus or pigeon chest. Laboratory tests showed decreased 25-(OH)D (<24-96 nmol/L), increased alkaline phosphatase (>30 King's units), and decreased blood calcium and phosphorus. Wrist X-rays can show varying degrees of severity of vitamin D deficiency rickets. Growing pains, rheumatism, rheumatoid disease, etc. can be ruled out based on laboratory and X-ray examinations.

The bone deformities formed during the sequelae period cannot be reversed; the key is to prevent them from continuing to progress. After the child enters the sequelae period, additional vitamin D and calcium supplements are no longer needed. The deformed bones can be improved mainly through strengthening physical exercise without affecting the child's growth and development. Pectus carinatum refers to a condition in which the sternum of a child is significantly protruding forward. Children with pectus carinatum should not only eat more calcium-containing foods, but also do more chest-expanding exercises, such as passive and active chest-expanding exercises, swimming, etc. As long as they persist in exercising, the symptoms of pectus carinatum will gradually ease as the child grows older. Children with "O"-shaped legs and "X"-shaped legs can have their inner and outer muscle groups massaged respectively to strengthen their muscle strength, or wear appropriate orthopedic shoes and lower limb orthotic sleeves. Severe deformities can be corrected through surgery.

The above are the common sequelae of rickets. Rickets will have some sequelae. The main manifestation of the sequelae is bone deformity and it is irreversible. At the same time, in daily life, if the child has entered the sequelae period, there is no need to add vitamin D or mainly through exercise to make the child healthier and control bone deformities.