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The bane of children artificially fed is malnutrition. Most of the malnutrition of infancy takes the form of rickets. While we are not yet in position to speak authoritatively upon the effect of infantile rickets upon the future adult, we are ready to admit that it probably has some effect, most likely in increasing the individual's tendency to disease, diminishing his resisting power, with possibly playing a powerful rôle in putting him into the great class of defectives. The importance, therefore, of detecting the first signs of rickets is apparent. It is too late to be of the best service to make the diagnosis of rickets when advanced bony changes are present Anybody can make the diagnosis of rickets when the head is squared, the ribs compressed, the abdomen distended, the wrists and ankles broadened, and the long bones bent. So can anybody passing in the train of a tornado
RICKETS.. JAMA. 1892;XVIII(9):267-268. doi:10.1001/jama.1892.02411130023004