Although normal values for serum PTH in infants have not been consistently defined, these PTH values were accompanied by severe vitamin D deficiency (25OHD concentrations of 4.7, 6.4, and 8.6 nmol/L) and in two infants, elevated alkaline phosphatase levels (352 and 507U/L), all factors that suggest possible vitamin D deficiency rickets. The gene discussed is PTH; the disease is rickets.