Which treatment is most effective for osteomalacia or rickets?

Prepare for USMLE Step 1 Pathology Exam with comprehensive quizzes, flashcards, and detailed explanations. Enhance your understanding and be exam-ready!

Osteomalacia and rickets are conditions characterized by impaired mineralization of bone, primarily due to inadequate levels of vitamin D. Vitamin D is essential for the absorption of calcium and phosphate from the gastrointestinal tract, which are critical for bone mineralization. In both conditions, a deficiency or inadequate functioning of vitamin D leads to weakened bones and an increased risk of fractures.

Vitamin D supplementation is the most effective treatment because it directly addresses the underlying cause of the mineralization defects. By replenishing vitamin D levels in the body, it promotes the absorption of calcium and phosphate from the diet, thereby improving bone mineralization. This supplementation helps alleviate the symptoms of osteomalacia and rickets and restores proper bone health.

While calcium and phosphate supplementation may be beneficial in certain cases, they do not target the fundamental issue of vitamin D deficiency. A bone marrow transplant is unrelated to the treatment of osteomalacia or rickets, as these conditions are not caused by bone marrow disorders. Therefore, vitamin D supplementation stands out as the most comprehensive and effective approach in treating these conditions.

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