Yadav, Shankar PrasadBhatta, Nisha Keshary2026-03-192026-03-192015https://hdl.handle.net/20.500.14572/5252Shankar Prasad Yadav Assistant Professor, Department of Paediatrics, B.P.Koirala Institute of Health Sciences Nisha Keshary Bhatta Professor, Department of Paediatrics, B.P.Koirala Institute of Health SciencesAbstract: Vitamin D-dependent rickets type II is a rare autosomal recessive disorder. We report 27 months female child with classical rachitic changes, very high level of 25-hydroxy Vitamin D, 1,25 (OH)2D and markedly elevated serum Alkaline phosphatase. Very high dose of oral calcium and vitamin D3 was prescribed with minor improvement in skeletal features and alopecia. This case report hints the physician to diagnose and manage Vitamin D-dependent rickets type II, when rachitic changes are associated with alopecia.en-USRickets25-Hydroxyvitamin D31-alpha-Hydroxylase deficiencyArticle