REVIEW
Incidental radiological diagnosis of rickets
1 Department of Accident and Emergency Medicine
2 Department of Radiology
3 Department of Paediatric Biochemistry
4 Department of Medical Paediatrics, Royal Hospital for Sick Children, Edinburgh, Scotland
Correspondence to:
Correspondence to:
L Rennie
Accident and Emergency Department, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF, Scotland; louise.rennie{at}kierto.com
Rickets fortunately remains rare in the United Kingdom, although its actual incidence is currently undetermined.1 Many still consider it to be a disease of poverty prevalent during the Victorian era. However, a number of recent articles have highlighted concern among British health professionals about the number of cases still being diagnosed in this country.2–6 These cases have nearly all involved non-Caucasian children who are considered to be at high risk due to skin colour, prolonged breast feeding, and low maternal vitamin D levels. Their presentations are variable ranging from failure to thrive, bone deformities, seizures, and even stridor. The diagnosis is usually made in babies and toddlers.
We present a series of patients attending our accident and emergency (A&E) department, over a five month period, where the diagnosis of rickets was primarily a radiological diagnosis.
Abbreviations: A&E, accident and emergency; COMA, Committee on Medical Aspects of Food Policy
Keywords: rickets; vitamin D; radiological diagnosis
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Emerg. Med. J. 2005 22: 533.
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