佝偻病学习课件.pptVIP

Vitamin D Deficiency Rickets(VDDR) Generalized symptoms: Irritation, restlessness, excessive sweating of the head, etc. No skeletal changes occur. Lab studies: X-ray: Normal or vague provisional calcification zone (PCZ) 25-(OH)D3↓ Calcium phosphorus↓ PTH↑ AKP normal or ↑ Early stage (Initially) Later stage（Advanced） 6months ：Craniotabes ( ping-pong-ball sensation ) Softening and weakening of growing bones Skeleton changes 6months: Abundant osteoid tissue Box-like head Rachitic Rosary Enlargement of wrists and ankles Wi