It is due to the indrawing of ribs to
form symmetrical horizontal grooves above the
costal margin, along the line of attachment of
diaphragm due to hyperinflation of the lungs and
repeated strong contraction of the diaphragm as
occurs in chronic respiratory disease in childhood,
childhood asthma, rickets and blocked nasopharynx
due to adenoid enlargement
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Hi
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Thanks
.Dr.Ilangho