clinical features

Last reviewed 01/2018

An infant with rickets may present with convulsions or tetany. The child may fail to thrive. On examination the child may be listless and flaccid.

Features of rickets include:

  • craniotabes - soft skull bones in early life
  • delayed closure of the anterior fontanelle
  • thickening of the knees, ankles and wrists
  • Harrison's sulcus
  • prominence of costochondral junctions - "rachitic rosary"
  • bowing of the radia, ulna, femur and tibia
  • proximal myopathy and hypotonia
  • pathological fractures
  • reduced structural growth and bone pain