4th Pediatric Infectious Diseases Conference
 
 
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Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Radiology in Rickets
RADIOLOGY IN RICKETS
Dr Priya Chudgar.
Lecturer in Radiology,
Department of Radiology,
KEM Hospital,
Mumbai.
 

Q: How do you determine Vitamin D Resistant Rickets on imaging?

A: Vitamin D Resistant Rickets is found in older children (>30months of age). Patient is short, stocky & bow legged. Ectopic calcifications & ossification in axial/appendicular skeleton along with occasional sclerotic changes are among the identifying radiographic features. Bowing of legs & shortening of long bones are more pronounced. Bones are more sclerotic.





Q: What is neonatal Rickets?

A: In first 2 years of life, incidence of Rickets is 5 to 20%. Neonatal rickets is believed to be of multifactorial origin. Major contributing factors are related to nutrition, immaturity of enzyme systems & iatrogenic / metabolic factors. Premature infants of low birth weight are primarily affected. Bony changes appear around 2 months of age. The most frequent causes of Rickets in patients under 6 months of age also include conditions like Biliary Atresia.

Q: What are the sequelae post-rickets?

A: Complete healing & restoration of normal structure are rule in rickets, however distortion/ sclerosis of spongiosa in affected segment may occur after healing & may remain visible for several years. Cortical thickening of segments of bone involved during active stage also may persist. Angulation deformities secondary to pathological fractures result in deformities like knock-knee, bow leg and sabershin.

Also See "Biochemical profile in Pattern of active rickets"

Last updated on 13-01-2001


 
 
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