Which of the following is a clinical feature of rickets ?: (A) Early closure of anterior fontanelle, (B) Craniotabes, (C) Pseudoparalysis of the lower extremities, (D) Decrease in upper segment to lower segment ratio
Answer is B. Clinical manifestations of rickets include skeletal deformities like bow legs(genu varum) in toddlers,knock- knees(genu valgum) in older children,craniotabes(soft skull),costichondral swelling(rickety rosary),Harrison groove,double malleoli due to metaphyseal hyperplasia,increased tendency for fractures,especially greenstick fractures,etc. Reference: GHAI Essential pediatrics, 8th edition