Table 2.
Salient features of different types of rickets
| Type | Calcium | Phosphorus | Alkaline phosphatase | PTH | 25 (OH)D | 1,25 (OH)2 D |
|---|---|---|---|---|---|---|
| Calcipenic rickets | ||||||
| Vitamin D deficiency | ↓ or N | ↓ or N | ↑ or ↑↑ | ↑ | ↓ | Variable |
| Vitamin D–dependent rickets type I | ↓ | ↓ or N | ↑↑ | ↑ | N | ↓ |
| Vitamin D–dependent rickets type II | ↓ | ↓ or N | ↑↑ | ↑ | N | N or ↓ |
| Phosphenic rickets | ||||||
| Nutritional phosphate deficiency | ↑ or N | ↓ | ↑ or ↑↑ | ↓ or N | N | ↑ |
| X-linked hypophosphatemic rickets | N | ↓ | ↑ | N or slightly ↑ | N | N or ↓ |
| Autosomal dominant hypophosphatemic rickets | N | ↓ | ↑ | N | N | ↓ |
| Autosomal recessive hypophosphatemic rickets | N | ↓ | ↑ | N | N | ↓ |
| Hereditary hypophosphatemic rickets with hypercalciuria | N | ↓ | ↑ | N or ↓ | N | ↑ |
25 (OH)D, 25-hydroxy vitamin D; 1,25 (OH)2 D, 1,25 dihydroxy vitamin D; N, normal levels; PTH, parathyroid hormone; ↑, increased levels; ↓, decreased levels.