Late diagnosis of cause of multiple fractures in a child
Journal Title: Scholars Journal of Medical Case Reports - Year 2016, Vol 4, Issue 4
Abstract
Fractures are common during childhood; however, they can also be the presenting symptom of primary or secondary causes of bone fragility. It is a challenge to identify those children who warrant further investigation. In children who present with bone pain or multiple fractures that are not commonly associated with mild to moderate trauma and whose fracture count is greater than what is typically seen for their age, an initial evaluation, including history, physical examination, biochemistry, and spinal radiography, should be performed. We present a 7 year old female girl who presented with complaints of not able to stand and walk associated with pain in all the limbs and generalized weakness since 1 year. She was diagnosed as a case of rickets and treated with Vit D and calcium on the basis of physical and radiological findings. Even after 6 months of treatment, there was no improvement in her. Keywords: rickets, multiple fractures, osteogenesis imperfecta.
Authors and Affiliations
Shipra Mandraha, Jayashree Nadkarni, Rashmi Randa, Shweta Sharma, Rajesh Tikkas
Keywords
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