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ABSTRACT. Rickets is an unusual disorder in international adoptees. Three international adoptees from the former Soviet Union recently presented with rickets. Their clinical and laboratory presentations were atypical, reflecting circumstances unique to children adopted from orphanages in the former Soviet Union and the early initiation of vitamin D therapy. In these children, radiographs of the long bones were diagnostic when the classically diagnostic biochemical parameters, calcium and 25OHD[sub 3] levels, were normal. Pediatrics 2000;106(6):1484-1489; rickets, vitamin D deficiency, adopted. [ABSTRACT FROM AUTHOR]