osteomalacia represent the same disease process, rickets develops in growing children, whereas osteomalacia occurs in both children and adults (Glorieux 1875-1877).
Rickets and osteomalacia may result in varying degrees of weakness and lethargy. Rickets occurs prior to growth plate closure and primarily involves cranial bone, rib cage, long bone, spinal, and dental deformities. Cranial bone deformities include "frontal bossing and craniotabes, or softening of the skull (Klein & Simmons 379-382)." In addition, the rachitic rib cage may exhibit enlargement of the costochondral junction (i.e., the rachitic rosary), anterior or posterior displacement of the sternum, and inward bendin
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