$Unique_ID{BRK00665} $Pretitle{} $Title{What Causes a Rosary to Form on the Chest?} $Subject{rickets rosary vitamins Musculoskeletal connective tissue tissues Vitamin D bones cartilage sternum chest bone bowlegs spinal curvature cod liver oil} $Volume{M-17} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. What Causes a Rosary to Form on the Chest? ------------------------------------------------------------------------------ QUESTION: I have heard of a disease that causes a rosary to form on the patient's chest. It is not common and I can not even recall the reason for this, but my mother used to warn us about this when we were children. Can you help me recall why? ------------------------------------------------------------------------------ ANSWER: I will bet it was when you refused to take your daily dose of cod liver oil. Just writing the words makes me recall the horrible taste, but both our mothers were trying to prevent us from developing a disease known as rickets, which is caused by a lack of Vitamin D. Fish livers contain large quantities of this valuable vitamin, and so oils produced from their livers, particularly cod, were used to prevent the bone malformations that come with rickets. And it is rickets that produces the "rosary" you remember, because the cartilage connection of the ribs to the sternum (chest bone) fails to develop properly, forming a bead-like effect in young infants who suffered from Vitamin D deficiency. Other signs of faulty bone growth could be seen in deformities such as bowlegs and spinal curvature. While rickets is rare in this vitamin conscious country, it is still seen where malnutrition and vitamin deficiency continue to exist. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.