Question
A friend’s child has been looking slightly bow-legged recently. Worrying, I took them to a nearby hospital for a thorough check-up. The doctor’s diagnosis was that it was rickets caused by congenital vitamin D deficiency. The whole family is very anxious. Now, in addition to maintaining a stable diet for the child, can patients with hypophosphatemic rickets grow up?
Answer
Rickets comes in many different forms, not all of which require the intake of vitamin D3. Vitamin D3 may be effective for rickets caused by vitamin D deficiency. It is necessary to bring the child to a professional pediatric endocrinology clinic for a follow-up consultation to find the factors causing the rickets, such as in the past, there were many cases of vitamin D deficiency rickets, but now nutrition is getting better, and these patients are rare. Instead, there is hypophosphatemic anti-D rickets. After a follow-up visit to the hospital, the disease may present with symptoms typical of rickets and often requires internal medicine treatment. Once the condition is stabilized, it is possible to undergo osteotomy and corrective surgery.