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Incidental radiological diagnosis of rickets
  1. L M Rennie1,
  2. T F Beattie1,
  3. A G Wilkinson2,
  4. P Crofton3,
  5. L E Bath4
  1. 1Department of Accident and Emergency Medicine
  2. 2Department of Radiology
  3. 3Department of Paediatric Biochemistry
  4. 4Department of Medical Paediatrics, Royal Hospital for Sick Children, Edinburgh, Scotland
  1. Correspondence to:
 L Rennie
 Accident and Emergency Department, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF, Scotland;


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.

  • A&E, accident and emergency
  • COMA, Committee on Medical Aspects of Food Policy
  • rickets
  • vitamin D
  • radiological diagnosis

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  • Funding: none.

  • Competing interests: none declared

  • Written permission was obtained from the parents of all children to have their clinical details published.

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