A 2-year-old boy of Indian origin presents with his mother as she is concerned that he is not growing and gaining weight as he should.
A 2-year-old boy of Indian origin presents with his mother as she is concerned that he is not growing and gaining weight as he should. She explains that he was late to walk compared to his older sister and describes an apparent bowing of the legs on weight bearing.
After initial examination and investigations with blood tests, a diagnosis of rickets is suspected, and the child is started on treatment-dose cholecalciferol. Despite this, he fails to improve.
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