Anticonvulsant Induced Rickets - Contents | Cases | Comments | Bibliography

Anticonvulsant Induced Rickets

Cases

Supplied by Andrew Porter

L.D., a 14 year old male with severe mental retardation and epilepsy, was referred for consideration of scoliosis. The curve was found to be minimal but examination showed deformity of the right wrist. Xray revealed features diagnositic of rickets. A previous Xray of his left wrist taken 5 years previously was normal. A history of medication with Phenytoin and Phenobarbitone was elicited from his care-givers. He was placed on Vitamin D supplementation. On follow up the rachitic changes in his wrist have significantly improved.

L wrist 1994	R wrist March 1999	R wrist June 1999	R wrist October 1999