Symptoms of congenital rickets

When many babies are born, their weight and height are different from those of normal babies, and their growth rate is relatively slow. Many of them are diagnosed with rickets. So what are the symptoms of congenital rickets? There are two main aspects of this disease, one is the false fontanelle, and the other is pectus excavatum, which is mainly caused by lack of VD, and varies from mild to severe.

Clinical manifestations:

The main manifestations are incomplete ossification or osteomalacia of the skeletal system. Manifestations of congenital rickets include enlarged anterior fontanelle, widened skull, softening of the skull edge and parietal tuberosity to resemble a ping-pong ball, and serrated bone loss in the sagittal suture of the parietal bone. If the loss is huge, a "false fontanelle" may form in front of the posterior fontanelle. When respiratory diseases and breathing difficulties occur concurrently, the sternum softens and easily sinks, forming a "pectus excavatum". Spontaneous rib fractures may occur in premature infants. Osteoid tissue hyperplasia is less common among the symptoms of congenital rickets, such as rib beads, bracelets on the hands and feet, and square head. Neonates show symptoms of hypocalcemia in the early stages of life, with increased neuromuscular excitability, and may have tetany, systemic convulsions, laryngeal spasms, etc.

Can rickets be cured?

The treatment of rickets is mainly through supplementing VD and using calcium supplements as an aid. The purpose is to prevent bone deformity and recurrence. According to the child's condition at different stages, the treatment is divided into early stage, active stage and recovery stage, and the treatment methods adopted are different.

Active rickets

In order to control the disease activity and prevent deformities in children, active treatment is needed based on their specific clinical manifestations.

1. Mild

Taking VD 200,000-300,000 IU requires one oral or intramuscular injection, and can be taken 1-2 times every month. At the same time, calcium supplements can be taken continuously for 1-2 months, 2-3 times a day, 0.5-1 gram each time, for 1-2 months.

2. Moderate and severe

Vitamin D 200,000-300,000 IU needs to be taken orally or intramuscularly once, and can be taken orally or intramuscularly 2-3 times every month; calcium supplements can be taken continuously for 2-3 months, 2-3 times a day, 0.5-1 gram each time.

Convalescent rickets

You can get more sun exposure and increase nutrition. During this period, you can stop taking vitamin D, but it should be noted that in order to prevent recurrence, 200,000-300,000 IU of vitamin D should be taken orally or intramuscularly in winter and spring. The effective period is generally 2-3 months. To avoid VD poisoning, you should stop taking the maintenance dose orally and just bask in the sun regularly.