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Rickets is a bone ailment caused by a lack of Vitamin D, calcium, or phosphate in the body. The bones become fragile and weak as a result. It is most typically found in children between 6 to 24 months.
- Rickets is a rare disease inherited by any child, which is the cause of disease in that particular child.
- The deficiency of Vitamin D and calcium in the diet becomes the main reason for disease.
- Vitamin D helps in the absorption of calcium and phosphorus from food.
- Tuna, salmon, and egg yolks are good sources of the vitamin.
- The disease was quite common in Africa, the Middle East and Asia.
- Bone pain, bowed legs, stunted growth and trouble sleeping are symptoms of the disease.
- Osteomalacia is a similar condition found in adults.
- Blood tests and bone X-rays can be used for diagnosis of the Rickets.
Key Terms: Rickets, Vitamin D, Calcium, Phosphorus, Minerals, Bones, Diseases, Nutritional Rickets, Hypophosphatemic Rickets, Blood, Skin, Bones, Hereditary, Renal Rickets, Vitamins
What is Rickets?
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Rickets is a bone ailment that affects children in which the bones become fragile and prone to fractures. An insufficient amount of minerals, particularly Vitamin D3, causes bones to weaken.
- A shortage of calcium and phosphate in the body can cause it.
- Weak bones can cause bone abnormalities.
- Vitamin D is mostly obtained by exposing the skin to sunshine.
- Rickets is quite a common disease in children, especially those who have a darker complexion.
- The disease was found in children who don't get enough sun.
- It is also seen in premature babies.
- The adult form of rickets is known as osteomalacia, and it is characterised by soft bones.
- Alarmingly low calcium and phosphorus levels and elevated levels of alkaline phosphatase are indicators of the illness.
- Blood tests is commonly used to diagnose rickets.
- It can be seen on X-rays as a change in the form of bones.
- Biopsies of the bones can also aid in the diagnosis.
Rickets
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Types of Rickets
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Rickets is divided into three categories, which are as follows:
Nutritional Rickets
Nutritional Rickets are induced by consuming foods that are deficient in calcium, phosphorus, and vitamin D. It can be treated by replacing deficient nutrients.
Hypophosphatemic Rickets
Hypophosphatemic Rickets is caused by a lack of phosphate in the body. It's an X-linked hereditary condition in which the kidneys can't regulate how much phosphate gets discharged in the urine.
Renal Rickets
Renal rickets is a condition that affects people who have kidney problems. They can't control how much calcium and phosphate they excrete in their urine.
- Renal rickets can be treated by viatmin D and phosphate binding.
Rickets
Symptoms of Rickets
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The following are the signs and symptoms of rickets:
- Symptoms of rickets include reduced growth and short height of an individual.
- It causes fractures in bones.
- Softening of bones is another symptom of rickets.
- Individuals can experience pain in the bones of the legs, pelvis, arms and spine.
- They can experience deformities in their teeth.
- Deformities in the skeleton like bowlegs and protruding breastbone.
- Individuals can experience unusual curving of the shape of the skull.
- Seizures are critical symptoms of the rickets.
Causes of Rickets
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Vitamin D is necessary for calcium absorption from diet. Rickets are caused by a lack of calcium and vitamin D or an inability to absorb these nutrients. Sunlight and food are both sources of vitamin D.
- When the skin is exposed to sunshine, vitamin D is produced.
- Since sunscreen prevents the sun's rays, the generation of Vitamin D is diminished in the skin's generation.
- Vitamin D is abundant in fish oil and fat, as well as the yolk of an egg.
- It is also found in several cereals, milk, and fruit juices.
- Thickening of wrists and ankles and muscle weakness is another symptoms of rickets.
- Delaying motor skills, bowed legs and knock knees are other symptoms.
Rickets is a hereditary condition that can be passed down from generation to generation. It is more common in children because their bones expand rapidly, and it is more likely in children who have the following characteristics:
- Excess melanin pigment causes a darker complexion in children.
- Calcium and phosphorus-rich foods in low supply can be one of the main causes of rickets.
- Lack of exposure to sunshine also causes the disease.
- When newborns are not supplemented with Vitamin D while breastfeeding is another cause.
- Having an illness that prevents you from absorbing Vitamin D is the cause of the disease.
Causes of Rickets
Treatment for Rickets
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Rickets can be treated with adequate advice if the underlying reason is identified early. It can also be treated without causing serious bone deformities, but surgery may be required in certain cases.
- Rickets can be cured by eating a vitamin and mineral-rich diet, including calcium and phosphorus-rich foods.
- Vitamin D supplements are required for infants who are still nursing.
- The condition improves when the skin is exposed to enough sunshine.
- If rickets are caused by a genetic condition, vitamin D hormones and phosphorus medicines are provided.
- In the case of skeletal deformities, braces may be required to properly position the bones as the kid grows.
Risk Factors Involved
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Rickets is a disease that can be cured when detected and treated on time. However complications will rises when disease is left untreated for long duration of time. Some of the risk involved are as follows:
- Complications can lead to seizures, heart damage and death.
- The disease can be passed on to successive generations.
- Children might become lactose-intolerant due to deficincy of the vitamin D.
- Failure to growth of bones of individuals is another risk involved with rickets.
Things to Remember
- Rickets is a bone ailment caused by a lack of Vitamin D, calcium, or phosphate in the body.
- Children are more susceptible to rickets as they are in their growing stages.
- Vitamin D is a fat-soluble vitamin that is vital for the proper absorption of calcium and phosphorus from the stomach.
- It is also found in several cereals, milk, and fruit juices.
- Lactose intolerance increases the risk of rickets in children.
- If a complication arises in the case of rickets, then individuals can also experience seizures.
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Sample Question
Ques. Which food items are rich in Vitamin D? (2 marks)
Ans. Food items rich in Vitamin D are:
- Salmon
- Tuna
- Egg yolk
- Mushroom
- Cod liver oil
- Orange
- Milk
Ques. What is Rickets? (5 marks)
Ans. Rickets is a bone ailment that affects children in which the bones become fragile and prone to fractures. An insufficient amount of minerals, particularly Vitamin D3, causes bones to weaken.
- A shortage of calcium and phosphate in the body can also cause it.
- Bone abnormalities can be caused by weak bones.
- Vitamin D is mostly obtained by exposing the skin to sunshine. Fatty seafood (such as tuna and salmon) and egg yolks are also good sources of Vitamin D.
- It's a frequent disease in kids, especially those with darker skin who don't get enough sun, and it's also seen in premature babies.
- The adult form of rickets is known as osteomalacia, and it is characterised by soft bones.
- Alarmingly low calcium and phosphorus levels, as well as elevated levels of an alkaline phosphatase, are indicators of the illness.
- It can be seen on X-rays as a change in the form of bones.
Ques. What are the types of Rickets? (3 marks)
Ans. Here are the following types:
- Nutritional Rickets is induced by consuming foods that are deficient in calcium, phosphorus, and vitamin D.
- Hypophosphatemic Rickets is caused by a lack of phosphate in the body. It's an X-linked hereditary condition in which the kidneys can't regulate how much phosphate gets discharged in the urine.
- Renal rickets is a condition that affects people who have kidney problems. They can't control how much calcium and phosphate they excrete in their urine.
Ques. What are the symptoms of Rickets? (5 marks)
Ans. The following are the signs and symptoms of rickets:
- Reduced growth and short height
- Fractures in bones
- Softening of bones
- Pain in the bones of arms, legs, pelvis, and spine
- Deformities in teeth
- Deformities in the skeleton like bowlegs, and protruding breastbone.
Ques. What is the treatment for Rickets? (4 marks)
Ans. Here are some facts:
- Rickets can be cured by eating a vitamin and mineral-rich diet, including vitamin D, as well as calcium and phosphorus-rich foods.
- Vitamin D supplements are required for infants who are still nursing. The condition improves when skin is exposed to enough sunshine.
- If rickets is caused by a genetic condition, vitamin D hormones and phosphorus medicines are provided.
- In the case of skeletal deformities, braces may be required to properly position the bones as the kid grows.
Ques. What are the causes of Rickets? (5 marks)
Ans. The cause of rickets is usually a vitamin D, calcium, or phosphate deficit, regardless of the kind. The following are some of the causes of rickets:
- Premature birth (vitamin D deficiency, calcium deficiency, and phosphorus deficiency);
- Minimal solar exposure (particularly at high and low latitudes);
- Metabolic illnesses that run in families (for example, hypophosphatemic rickets)
- People with dark skin tones
- Babies born to mothers who are vitamin D deficient;
- Calcium and phosphorus absorption disorders caused by renal or kidney diseases
- Nutrition – Inadequate calcium and phosphorus intake as a result of avoiding dairy products.
Ques. What are the risk factors included in Rickets? (5 marks)
Ans. The following are the key rickets risk factors:
- This disease is more common in children aged 3 to 36 months.
- This is the moment when the bones demand extra calcium and phosphate for development.
- Lactose intolerance increases the risk of rickets in children.
- In addition, because breast milk is deficient in vitamin D, infants who rely on it acquire this condition.
- This condition is more likely to affect children with a dark complexion.
- Dark skin does not react well to sunlight, it does not create vitamin D.
- This condition is more likely to affect children who live in places with little sunlight or who spend most of their time indoors.
- It's also possible to pass it on down the generations.
Ques. What is the difference between rickets and osteomalacia? (3 marks)
Ans. The difference between rickets and osteomalacia are as follows:
| Rickets | Osteomalacia |
|---|---|
| Rickets is a disease that affects children. | Osteomalacia is a disease that affects both children and adults. |
| It is found in 29 of 100000 children. | It is found in1 of 1000 children. |
| Rickets can be treated by physical examination of legs, chest and skulls. | Osteomalacia can be treated by bone biopsy. |
Ques. How rickets can be diagnosed? (2 marks)
Ans. Rickets can be diagnosed in following ways:
- Physical examination of the patient
- Blood test prescribed by the doctor.
- Scanning of bones.
- Performing long bone x-ray of an individual.
Ques. Explain the role of vitamin-D? (4 marks)
Ans.Vitamin D is essential for the human body as it helps in the absorption of calcium and phosphorus. Calcium and phosphorus are required for the growth and development of healthy bones.
- Reduction in the level of vitamin D will reduce the level of vital minerals.
- It will increase the risk of rickets in children.
- According to the survey, 90 per cent of vitamins come from the sunlight of the sun.
- When an individual is directly exposed to sunlight, ultraviolet rays are converted to a skin substance called 7-dehydrocholesterol and converted into vitamin D.
- It is absorbed in the skin via the intestine.
Ques. What changes must an individual carry out to prevent rickets? (3 marks)
Ans. The changes an individual must carry out to prevent rickets are as follows:
- Avoid the consumption of alcohol and prevent smoking.
- Increasing the intake of vitamin D supplements.
- Regularly perform various types of physical activities or medications to keep the body healthy.
- Increase the exposure to sunlight.
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