Patient's question:
Boy, 4 years old, has started to develop a slight hunchback this year, with a slight concave area in the chest, and is very thin, weighing 30 pounds at 4 years old.Past treatment history and effectiveness: No specific treatment has been given.
Help sought: The child is calcium-deficient, and calcium supplements have been provided. What should be done? Is it scoliosis? Solve the equation!
Doctor's answer:
Rickets can be observed in children around one year old, where chest deformities may occur. The sternum and adjacent cartilage protrude forward, forming a "pigeon chest" deformity. In severe cases of rickets, the lower edge of the chest forms a horizontal concavity, known as the costophrenic groove or Harrison's groove. Your child is four years old, and it is more likely that the changes are due to sequelae of rickets.Recommendation: It is recommended to conduct a thorough examination of serum 25-(OH)D3, blood super and skeletal X-rays to rule out sequelae of rickets.