Anatom3DOsteomalacia & rickets
Osteomalacia et rachitis · Osteomalacie a křivice
What it is
Bone that is built but never mineralised, from lack of vitamin D or phosphate.
Symptoms & signs
- Bone pain
- muscle weakness
- waddling gait
- fractures
- bowed legs in children
🚩 Get help if…
- call 112 / 911 now Muscle cramps, twitching or tingling around the mouth and fingers
- see a doctor soon Bone pain with a fracture after only a minor fall
- see a doctor soon A child with bowed legs, a waddle or delayed walking
- see a doctor soon Weakness climbing stairs or rising from a chair
Where it strikes
- Skeleton
- Vertebral bodies
- Femur
Medical treatment
- High-dose vitamin D then maintenance
- calcium
- phosphate supplements in hypophosphataemia
- burosumab in X-linked forms
- treat malabsorption
Natural & lifestyle
- Sunlight and dietary vitamin D
- fortified foods
- screening in dark skin, veiled skin and malabsorption
Emerging & experimental
- Calcifediol formulations
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Cod-liver oil — the traditional rickets cure; it supplies vitamin D (watch the vitamin A dose) mixed evidence
- UVB lamps — raise vitamin D in malabsorption; skin-cancer risk early / small studies
ICD codes
- ICD-10 M83.9
- ICD-10 E55.0
- ICD-11 FB83.2Z Adult osteomalacia, unspecified
- ICD-11 5B57.0 Vitamin D deficiency rickets