Rickets is a deficiency in vitamin D.

Written by Li Jiao Yan
Neonatology
Updated on June 20, 2025
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Rickets, also known as vitamin D deficiency rickets, is primarily caused by insufficient vitamin D leading to abnormalities in calcium and phosphorus metabolism in the body. This results in the failure of calcium and phosphorus to deposit normally in the bone-forming areas, leading to incomplete mineralization of the bone tissues of the growth muscles, manifesting as a chronic nutritional disease characterized by skeletal abnormalities. The main causes are improper feeding methods, the addition of cod liver oil, residential environment, outdoor activity time, repeated respiratory infections, maternal calcium deficiency during pregnancy, and the season of birth. It is generally recommended for mothers to supplement appropriate amounts of vitamin D and calcium during pregnancy. After birth, babies should regularly supplement vitamin D and receive adequate sunlight, as insufficient ultraviolet light is one of the main causes of vitamin D deficiency. Lack of outdoor activities, primarily staying indoors, or having ultraviolet light blocked by dust, smoke, clothing, or ordinary glass can all lead to vitamin D absorption problems. Therefore, it is advised for children to have appropriate outdoor activities to prevent the onset of rickets.

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Written by Zeng Hai Jiang
Pediatrics
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The difference between rickets and dwarfism.

Rickets is caused by a deficiency of vitamin D in infants and young children, leading to disturbances in calcium and phosphorus metabolism and resulting in skeletal abnormalities as a characteristic of this chronic nutritional disease. Typical symptoms can include changes in the bones, especially in the fastest growing parts of the skeleton, and can affect muscle development and changes in neural excitability. Symptoms such as a "ping pong ball" head, square skull, pigeon chest, funnel chest, and eversion of the rib margins are also observed. Diagnosis is made through examinations such as vitamin D levels and skeletal X-rays. Dwarfism, on the other hand, is a growth disorder caused by a deficiency of growth hormone from the anterior pituitary gland before puberty. Its clinical manifestations are primarily growth disturbances, characterized by a short, proportionate stature. Adults with this condition often retain a child-like appearance, and their bone development is delayed with bone age younger than their chronological age. Intellect corresponds to their age, and sexual development may also be disrupted.

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Written by Yao Li Qin
Pediatrics
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Clinical manifestations of rickets

Rickets, also known as vitamin D deficiency rickets, occurs because children do not supplement vitamin D in a timely manner after birth, leading to a deficiency of vitamin D in the body and resulting in a nutritional metabolic disease primarily involving skeletal changes. In the early stages, children mainly show symptoms related to mental and emotional state, such as irritability, crying, excessive sweating, shaking their heads back and forth, and rubbing their heads. Subsequently, symptoms like bald patches on the back of the head and softening of the skull bones may appear. As children grow, they may develop conditions such as a square-shaped skull, beaded ribs, pigeon chest, funnel chest, and bracelet-like deformities around the wrists and ankles. In severe cases, children may later develop X-shaped legs and O-shaped legs. If rickets is suspected, it is crucial to promptly conduct a blood test to measure the vitamin D level. If the level is below normal, it is essential to actively treat the diagnosed rickets.

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Written by Tong Peng
Pediatrics
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Can people with rickets swim?

Rickets is a metabolic disease caused by a deficiency in vitamin D, and its clinical manifestations primarily include symptoms in infants such as a square skull, night sweats, pigeon chest, eversion of the rib cage, as well as bowlegs or knock-knees. Severe cases can lead to skeletal deformities in the chest and developmental disorders. Therefore, for the treatment of children with rickets, it is necessary to intake vitamin D and calcium to promote bone development. Swimming is also a form of exercise that can enhance the absorption of calcium by the bones, which can help prevent the progression of rickets. It is also important to engage in outdoor activities and expose to sunlight, as vitamin D can be synthesized through sun exposure, effectively supplementing it. If a child's symptoms of rickets are relatively severe, it is advisable to take the child to a specialist hospital for a 25-hydroxy vitamin D test and supplement vitamin D based on the specific results.

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Written by Li Jiao Yan
Neonatology
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What department should I go to for rickets?

Rickets, fully known as nutritional vitamin D deficiency rickets, is a chronic nutritional disease characterized by skeletal lesions in children caused by insufficient vitamin D leading to disturbances in calcium and phosphorus metabolism. In the early stages of rickets, the main issues are disturbances in calcium and phosphorus metabolism and low levels of vitamin D. At this time, one can consult the endocrinology department to check the child's trace elements. If sequelae have already formed, such as obvious pigeon chest or developmental deformities of the lower limbs bones, then it would be appropriate to consult an orthopedic department for corrective treatment.

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Written by Yao Li Qin
Pediatrics
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Rickets lack what vitamin

Rickets, also known as vitamin D deficiency rickets, is a chronic nutritional disease characterized by bone lesions, caused by insufficient vitamin D in a child's body, leading to disrupted calcium and phosphorus metabolism. Typically, it is evident in the incomplete mineralization of the growing long bones' metaphyseal ends and bone tissue, resulting in the softening or deformation of the bones. All children, including full-term infants after two weeks, premature infants, twins, and low birth weight infants after one week, should start supplementing with vitamin D. This is because the content of vitamin D in foods, such as breast milk or various infant formulas, is not sufficient to meet the needs of children. Therefore, a lack of timely vitamin D supplementation after birth can lead to a deficiency and consequently rickets, a disease caused by a lack of vitamin D. (Please use medication under the guidance of a professional physician, and do not medicate blindly.)