After initial improvement, the symptoms may reoccur after four to 12 hours (a late phase recurrent reaction) and require additional treatment and monitoring.
If the child has more than five tantrums a day, or the tantrums reoccur in school, the doctor should also be consulted.
The disease can reoccur, or reactivate, during adolescence when resistance is low, and may disappear on its own or develop into serious lung disease.
Even after a case of vitamin D deficiency has successfully been resolved special care should be taken with the child's diet, as vitamin D deficiency can reoccur.
Parents should be aware of the damage to the ligament structures of the elbow and should not lift the child by the arm, as the pulled-elbow condition can reoccur up.
