This subject has not been given much special attention recently, judging from a review of modern medical literature on diseases of children, and especially rickets, but all seemed to have been content with the fact that the disease was due to mal-assimilation with inevitable and unavoidable results and let it go at that.
Rickets is a disease of defective nutrition from malassimilation, augmented by the absence of sunshine and fresh air. Some authorities believe rickets due to toxins received by the child through special inheritage, while others contend the toxins are due to alimentation: however, let that be as it may, the disease is essentially a constitutional one and we must treat it as such.
The scrutinizing diagnostician will readily see that the disease is much more common than is generally supposed and will differentiate it by elimination from other diseases in children called something else. There are negatively etiologic
COKENOWER JW. RICKETS IN ITS EARLY STAGES AND BEST TREATMENT TO PREVENT DEFORMITIES. JAMA. 1911;LVII(19):1506–1507. doi:10.1001/jama.1911.04260110006002
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