[Updates on rickets and osteomalacia: pathogenesis and pathophysiology of rickets]

Clin Calcium. 2013 Oct;23(10):1405-12.
[Article in Japanese]

Abstract

Rickets is a condition of inadequate mineralization of osteoid and cartilage at the growing ends of bones in children. In this brief review, we first explained the regulation of serum Ca and P concentrations to understand Rickets. Second, four types of sub-division of Rickets are presented ; 1) Vitamin D dysfunction-related, 2) Phosphate deficiency-related, 3) both 1) and 2) -related, 4) others. Finally, as most common entities, diagnosis and treatment in vitamin D deficiency and inherited hypophosphatemic Rickets/Osteomalacia are described. Over production of Klotho and inactivating mutations of FAM20c are explained as recent etiologies of non-hypercaluciuric inherited hypophosphatemic Rickets/Osteomalacia.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Age Factors
  • Bone and Bones / metabolism
  • Calcium / blood
  • Humans
  • Phosphates / blood
  • Rickets / diagnosis
  • Rickets / etiology*
  • Rickets / metabolism
  • Rickets / physiopathology*
  • Vitamin D Deficiency / complications
  • Vitamin D Deficiency / diagnosis
  • Vitamin D Deficiency / drug therapy
  • Vitamin D Deficiency / etiology

Substances

  • Phosphates
  • Calcium