Multiple fractures in infancy: scurvy or nonaccidental injury?
The child with unexplained fractures has a differential diagnosis that includes nonaccidental injury but also a number of bone disorders including osteogenesis imperfecta and rickets. This paper reports a 14-month-old girl who was found to have seven fractures, several hematomas and widespread sub-p...
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Veröffentlicht in: | Orthopedic research and reviews 2010-01, Vol.2, p.45-48 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | The child with unexplained fractures has a differential diagnosis that includes nonaccidental injury but also a number of bone disorders including osteogenesis imperfecta and rickets. This paper reports a 14-month-old girl who was found to have seven fractures, several hematomas and widespread sub-periosteal reactions. She was found to have biochemical evidence of vitamin C deficiency. While nonaccidental injury could not be excluded, it seemed likely that the major cause of the fractures was scurvy. It is important to consider the whole differential diagnosis in a child with unexplained fractures. |
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ISSN: | 1179-1462 1179-1462 |
DOI: | 10.2147/ORR.S13043 |