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Case Reports in Medicine
Volume 2012, Article ID 163289, 4 pages
http://dx.doi.org/10.1155/2012/163289
Case Report

Incidental Rickets in the Emergency Department Setting

Department of Radiology, Saint Barnabas Medical Center, 94 Old Short Hills Rd, Livingston, NJ 07039, USA

Received 12 July 2012; Revised 7 September 2012; Accepted 10 September 2012

Academic Editor: Luis García-Marcos

Copyright © 2012 John V. Zurlo and Shaun R. Wagner. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Vitamin D deficiency rickets is a childhood osteomalacia, with impaired skeletal development and potentially skeletal deformities. The radiographic findings of rickets are many but include widening, fraying, and cupping of the metaphysis. Developmental delay and related complications of seizure and tetany have also been reported. This medical entity is often thought of as a classic medical disease of the past. However, it persists, and the recognition of rickets is on the rise. The reemergence of rickets correlates with the increase in the number of children exclusively breastfed and with the frequent use of sun block in the pediatric population. We present two cases of rickets, diagnosed through a visit to the Emergency Department made for unrelated symptoms. These two cases illustrate the importance of diagnosing rickets as an “incidental” finding. With early detection, dietary supplementation can be initiated potentially sparing the patient symptomatic disease.