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Updated: May 11, 2025
They are most commonly met with in the tibia and in the ribs at the costo-chondral junctions. The bone lesions usually occur during the seventh or eighth week of the fever, but have been known to occur much later.
The cartilage of the epiphysial disc proliferates actively and irregularly, so that it becomes softer, thicker, and wider, and gives rise to a visible swelling, best seen at the lower end of the radius and lower end of the tibia, and at the costo-chondral junctions where the series of beaded swellings is known as the "rickety rosary."
In the thorax, the chief feature may be the beading at the costo-chondral junctions, principally of the fifth and sixth ribs or its walls may be contracted, particularly if respiration is interfered with as a result of bronchial catarrh or adenoids.
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