
Deficiency of Vitamin D in early childhood may lead to rickets.

Skeleton is poorly developed because of defective calcification in growing bones due to decreased absorption of calcium and phosphorus.
Clinical features :-

- Craniotabes (softening or thinking of skull ).
- Malocclusion of teeth.
- Eruption of teeth is delayed.
- Higher caries index.
- Bow legs.
- Pigeon chest (malformation of chest).
- Harisson’s sulcus ( it is a horizontal groove along the lower border of the thorax corresponding to the costal insertion of the diaphragm).
- Rachitic rosary (beading of ribs).

Treatment :-
- Vitamin D 2000 – 3000 IU daily.
- Orthopedic treatment
Reference :-
Image :- Google
Writing :- notes made from mastering bds , Sanjay Kumar Purkait book , Dr S N chugh books
