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VIII.118 - Rickets and Osteomalacia

from Part VIII - Major Human Diseases Past and Present

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

Rickets and osteomalacia are diseases with multiple etiologies primarily related to abnormal metabolism of vitamin D and secondarily to calcium and phosphate metabolism. Of the many causes, by far the most important relate to dietary vitamin D deficiency and the activation of vitamin D precursors by the kidney and sunlight. Rickets and osteomalacia are characterized pathophysiologically by a failure of normal mineralization of bone and epiphyseal cartilage and clinically by skeletal deformity. Rickets occurs in growing infants and children, and both bone and epiphyseal cartilage are affected. Osteomalacia occurs in adults after closure of the epiphyses, and its manifestations are often much less prominent.

History

Historically, rickets was among the earliest diseases to be described. As early as 300 B.C., Lu-pu-wei described crooked legs and hunchback; however, these can occur with other disorders. More specifc references are found in the separate writings of three Chinese physicians of the seventh and eighth centuries A.D., including enlarged head, body wasting, pigeon breast, and delayed walking. By the tenth century, Chien-i, the Father of Chinese pediatrics, described many cases of rickets (Lee 1940).

In the second century A.D., Soranus of Ephesus mentioned characteristic deformities of the legs and spine in young children and remarked on the higher frequency in urban Rome compared to Greece. Slightly later, Galen’s work included a description of skeletal deformities in infants and young children, particularly the knock-knee, bow leg, and funnel-shaped chest, and pigeon breast seen in rickets. Sporadic and somewhat ambiguous references to the disease were made until the mid-seventeenth century, when the classic descriptions of Daniel Whistler and Francis Glisson appeared.

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Publisher: Cambridge University Press
Print publication year: 1993

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References

Du Buys, L. R. 1924. A clinical study of rickets in the breast-fed infant. American Journal of Diseases of Children 27.Google Scholar
Eliot, M. M. 1925. The control of rickets. Journal of the American Medical Association 85.CrossRefGoogle Scholar
Escherich, T. 1899. Rickets. Comptes Rendu du XII Congrès Internationale de Médecine 3, Section 6.Google Scholar
Feer, E. 1916. Zur geographischen Verbreitung und Aetiologie der Rachitis. Medizin Klink 8.Google Scholar
Findlay, L. 1908. The etiology of rickets. British Medical Journal ii.Google Scholar
Fraser, D. R., and Kodicek, E.. 1970. Unique biosynthesis by kidney of a biologically active vitamin D metabolite. Nature 228.CrossRefGoogle Scholar
Glisson, F. 1650. Rachitide sive Morbo Puerili, qui vulgo The Rickets dicitur. London.Google Scholar
Hess, A. F. 1929. Rickets, including osteomalacia and tetany. Philadelphia.Google Scholar
Hess, A. F., and Unger, L. J.. 1917. Prophylactic therapy for rickets in a Negro community. Journal of the American Medical Association 69.Google Scholar
Lee, T. 1940. Historical notes on some vitamin deficiency diseases in China. Chinese Medical Journal 58.Google Scholar
Loomis, W. F. 1967. Skin-pigment regulation of vitamin Dbiosynthesis in man. Science 157.Google ScholarPubMed
Loomis, W. F. 1970. Rickets. Scientific American 223.CrossRefGoogle ScholarPubMed
Lund, J., and DeLuca, H. F.. 1966. Biologically active metabolite of vitamin D3 from bone, liver, and blood serum. Journal of Lipid Research 7.Google ScholarPubMed
Mariam, T. W., and Sterky, G.. 1973. Severe rickets in infancy and childhood in Ethiopia. Journal of Pediatrics 82.CrossRefGoogle ScholarPubMed
McCollum, E. V., et al. 1922. Studies in experimental rickets XXI. An experimental demonstration of the existence of a vitamin which promotes calcium deposition. Journal of Biological Chemistry 53.Google Scholar
Morse, J. L. 1900. The frequency of rickets in infancy in Boston and vicinity. Journal of the American Medical Association 34.Google Scholar
Owen, J. 1889. Geographical distribution of rickets, acute and chronic rheumatism, cancer and urinary calculus in the British Islands. British Medical Journal i.Google Scholar
Palm, T. A. 1890. The geographical distribution and etiology of rickets. Practitioner 45.Google Scholar
Pettifor, J. M., et al. 1978. Rickets in children of rural origin in South Africa: Is low dietary calcium a factor? Journal of Pediatrics 92.CrossRefGoogle ScholarPubMed
Reinhold, J. G. 1976. Rickets in Asian immigrants. Lancet ii.Google Scholar
Richards, I. D. G., et al. 1968. Infantile rickets persists in Glasgow. Lancet 1.Google ScholarPubMed
Robertson, I., et al. 1984. The role of cereals in the aetiology of nutritional rickets: The lesson of the Irish National Nutrition Survey 1943–48. British Journal of Nutrition 45.Google Scholar
Schmorl, G. 1909. Die pathologisiche Anatomie der rachitischen Knochenerkrankung mit besonderer Berucksichtigung ihrer Histologie und Pathogenese. Ergebnisse der Inneren Medezin und Kinderheilkunde 4.Google Scholar
Shany, S., Hirsh, J., and Berlyne, G. M.. 1976. 25-Hydroxycholecalciferol levels in Bedouins in the Negev. American Journal of Clinical Nutrition 29.CrossRefGoogle ScholarPubMed
Sly, M. R., et al. 1984. Exacerbation of rickets and osteomalacia by maize: A study of bone histomorphometry and composition in young baboons. Calcified Tissue International 36.CrossRefGoogle ScholarPubMed
Steinbock, R. T. 1976. Paleopathological diagnosis and interpretation: Bone diseases in ancient humanpopulations. Springfield, Ill.Google Scholar
Whistler, D. 1645. De morbo puerili Anglorum, quern patrio idiomate indigenae vocant The Rickets. London.Google Scholar
Wilson, D. C. 1931. Osteomalacia (late rickets) studies. Indian Journal of Medical Research 18.Google Scholar

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