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a

c

e

b

d

Fig. 5.1 (a) A 25-year-old female with distal renal tubular acidosis due to Sjogren syndrome.
(b) Note genu varum, (c) attrition of teeth with loss of enamel. (d) X-ray of pelvis showing fracture
neck of the left femur, right coxa vara, deformed pelvis, and cortical thinning. (e) X-ray of chest
showing bilateral pseudo-fractures at the lateral border of scapula (red arrows)

5 Rickets–Osteomalacia