An 8-year-old male presents with concern for bilateral genu valgum deformity and complaint of pain in both lower limbs on walking or running. Parents note that he has always been the shortest boy in his class at school and his complaints of pain on walking and lower limb deformity have developed and progressed over the past six months. Patient and parents deny any trauma, and there is no history of fractures. Patient does not have any alopecia, or dental problems such as discoloration or abscesses. Patient has a history of polyuria and primary nocturnal enuresis.
What are the etiologies of rickets?
• Rickets is characterized by deficient mineralization of bone osteoid at the growth plate in children.
• Osteomalacia refers to mineralization defects occurring after fusion of epiphyses.
Deficiency of vitamin D or genetic defects in action of vitamin D, calcium deficiency, phosphorus deficiency or phosphorus wasting, and renal tubular acidosis.

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