INTRODUCTION | PDF: Rickets Conference Shahidul

The bone disorder most clearly related to nutrition is rickets. It was first reported from Europe in the mid-1600s . Rickets in the growing child or adolescent develop in a variety of clinical situations and have in common an absence or delay in the mineralization of growth cartilage and in newly formed bone collagen. Glisson and others have described typical findings of bony deformity with curving of the legs in rickets, which continued to be reported during successive centuries. Re-emergence of nutritional rickets as an important and widely seen problem in the North America3,4 and secondly its higher prevalence in economically disadvantaged parts of the world where vitamin D insufficiency was uncommon5 were the two most striking things happened at the end of the last century. In United States and other western countries, rickets was most commonly seen in exclusively breastfed children with relatively darker pigmented skin.