We have hypotonia in rickets usually but we have normal tone in this child how to explain that mam.??
Mam how to explain proportionate short stature in rickets as seen in this case usually we have disprotionate short stature in rickets.??
Bowing of legs in a 9 yr old we can consider blounts disease or not sir.!!
Family history is also positive so it is more likely to be familial hypophosphatemic rickets as lower limbs also more involved than upper limb as seen in chief complaints familial hypophosphatemic rickets due to proximal renal tubular acidosis is more likely
Endocrine less likely bcz weight is not affected in endocrine causes of short stature
Nutritional not likely at 9 years bcz such long history is present
Failure to thrive in a 9 year old child so we have to rule out celiac
Renal tubular acidosis or chronic kidney disease and also have to look at parents height
DIAP India
7 replies on “PG Clinic (12th January 2021)”
We have hypotonia in rickets usually but we have normal tone in this child how to explain that mam.??
Mam how to explain proportionate short stature in rickets as seen in this case usually we have disprotionate short stature in rickets.??
Bowing of legs in a 9 yr old we can consider blounts disease or not sir.!!
Family history is also positive so it is more likely to be familial hypophosphatemic rickets as lower limbs also more involved than upper limb as seen in chief complaints familial hypophosphatemic rickets due to proximal renal tubular acidosis is more likely
Endocrine less likely bcz weight is not affected in endocrine causes of short stature
Nutritional not likely at 9 years bcz such long history is present
Failure to thrive in a 9 year old child so we have to rule out celiac
Renal tubular acidosis or chronic kidney disease and also have to look at parents height