Patient's question:
The child is 29 months old, weighs 33 pounds, and is 98 cm tall. Since birth, they have been deficient in vitamin D, taking 400 units, 800 units, and calcitriol. The bone alkaline phosphatase test still shows a significant deficiency. Now, they have developed rib flaring and pectus excavatum symptoms.Doctor's answer:
After the age of 2, if there are persistent symptoms of rickets, it is necessary to consider whether there could be hypophosphatemic vitamin D-resistant rickets, distal renal tubular acidosis, vitamin D-dependent rickets, or nephrogenic rickets. It is recommended to go to a regular large hospital for a detailed check-up to determine if any of the above causes are present. Regarding the introduction on "How to deal with rickets when vitamin D supplementation doesn't work," that's all for now. We hope patients can soon be free from the of the disease and stay healthy every day~