Rickets #KIP If u suspect, send Ca Phosphorus Alk phos PTH
Dr. M G KARTHEEKA
Rickets #KIP

If u suspect, send Ca Phosphorus Alk phos PTH and 25 OH D3....

Low calcium and increased Alk phosphate - Calcipenic rickets ( here calcium is not always low as we think) Vit D problems etc...

Low calcium and Normal Alk phosphate - Phosphopenic rickets ( Here Phosphorus is always low)

Male child with Rickets look at parents.. if they too have its X linked hypophophospatemic rickets...

PTH raises very high in Calcipenic rickets, and not much in Phosphatemic rickets...

Any rickets should be categorised into Calcipenic or Phosphophenic.. rest all classification is gone now...
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