Will the frontal bossing from rickets get better?

Written by Tong Peng
Pediatrics
Updated on May 05, 2025
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Rickets, if presenting with frontal bossing, can recover depending on the specific condition and age of the child. Rickets is often divided into four stages, with sequelae usually occurring after the age of three. Therefore, if symptoms of rickets are present before the age of three, they can be alleviated through supplementation with vitamin D, calcium, and other trace elements. Symptoms of rickets include craniotabes, Harrison's groove, beading of the ribs, pigeon chest, everted ribs, bowlegs, and knock-knees. Frontal bossing is often a manifestation of craniotabes, which usually occurs during infancy. Supplementing with vitamin D during this period can greatly alleviate the condition. At the same time, it is important to also expose the child to sunlight and engage in outdoor activities to promote the bones' absorption of vitamin D and calcium, preventing the recurrence of symptoms.

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Written by Li Jiao Yan
Neonatology
1min 10sec home-news-image

Rickets is a deficiency of what?

Rickets is caused by a deficiency of what? For rickets, its main gold standard for diagnosis is based on the results of blood biochemistry and skeletal X-ray examinations. Generally, the deficiency in rickets is mainly due to insufficient levels of vitamin D, which then leads to disturbances in calcium and phosphorus metabolism. Typically, this is characterized by low levels of 25-hydroxyvitamin D3 in the body, along with decreased levels of blood calcium and phosphorus, manifesting as deficiencies in calcium, phosphorus, and vitamin D. However, in children, rickets could also be caused by other factors, such as abnormalities in liver or kidney function, or congenital hereditary diseases. Generally, further tests are needed to confirm rickets. If other special causes are ruled out, timely supplementation of vitamin D and appropriate exposure to sunlight, along with calcium supplementation, can effectively cure the disease.

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Written by Yao Li Qin
Pediatrics
1min 38sec home-news-image

Causes of Rickets

Rickets, also known as Vitamin D-deficiency rickets, implies from its name that the cause of the disease is due to insufficient intake of Vitamin D in children, leading to disorders in calcium and phosphorus metabolism and resulting in nutritional disease with skeletal deformities. The incidence of the disease is higher in the north than in the south. Currently, the incidence of mild and moderate rickets is relatively high, while severe cases are less common because people are increasingly paying attention to the supplementation of Vitamin D for children. It is recommended that full-term infants start supplementing with 400 units of Vitamin D daily two weeks after birth, which is the physiological requirement. For premature infants, twins, and extremely low birth weight infants, the daily physiological requirement of supplementation is 800 units per day. After supplementing continuously for three months, it should be adjusted to 400 units per day as per the requirement for full-term infants. With such management, the child will not suffer from rickets. However, if there is no regular supplementation after birth, the lack of Vitamin D can lead to skeletal changes in the child, and once rickets is diagnosed, it requires high doses of supplementation.

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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.)

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Written by Li Jiao Yan
Neonatology
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Can rickets be cured?

Rickets refers to a nutritional disease characterized by bone lesions caused by disorders in calcium and phosphorus metabolism due to a deficiency of vitamin D in the body. The primary treatment for rickets involves early detection and comprehensive treatment at an early stage, which is crucial. The general treatment goal is to control the active phase, prevent deformities, and avoid recurrence. Nutritional rickets due to a deficiency of vitamin D is a self-limiting disease; it can be cured once infants and young children engage in sufficient outdoor activities and supplement with vitamin D. Early detection of low vitamin D levels or abnormalities in calcium and phosphorus metabolism, along with early proactive intervention, can prevent the occurrence of skeletal deformities. If sequelae are present, there is no need for medication; mild to moderate cases should strengthen physical exercise, and skeletal deformities can be corrected through active or passive rehabilitation movements. Severe skeletal deformities can be corrected through surgical treatment.

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Written by Quan Xiang Mei
Pediatrics
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Early symptoms of rickets

Rickets is a bone disease formed due to a deficiency of vitamin D, clinically referred to as rickets. The early clinical symptoms of rickets, which correspond to the early stages of vitamin D deficiency, primarily manifest as autonomic dysfunction, including night terrors, night sweats, and crying. In the early stages of rickets symptoms, parents often believe the cause to be calcium deficiency. Indeed, vitamin D deficiency can also impair calcium absorption, and these are linked reactions. Therefore, parents should pay attention to supplementing vitamin D, especially in areas with insufficient sunlight, ensuring that children receive less than two hours of sunlight exposure per day. During children's growth phases, it is essential to ensure adequate daily intake of vitamin D, with a basic amount of 400 IU being necessary.