An 11 month old girl with bilateral wrist swelling
Autor: | L Thia, R Hodgkinson, Simon P.G. Padley, Don S. Urquhart, Atul Gupta, Andrew Bush |
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Rok vydání: | 2008 |
Předmět: |
Wrist Joint
medicine.medical_specialty media_common.quotation_subject Wrist swelling Wrist chemistry.chemical_compound Edema Humans Medicine Girl General Environmental Science media_common Creatinine Corrected calcium medicine.diagnostic_test business.industry General Engineering Infant General Medicine Anatomy medicine.disease Failure to Thrive Surgery Radiography medicine.anatomical_structure chemistry Failure to thrive General Earth and Planetary Sciences Female Bone Diseases Joint Diseases medicine.symptom business Chest radiograph Rachitic rosary Rickets |
Zdroj: | BMJ. 337:a2149-a2149 |
ISSN: | 1468-5833 0959-8138 |
Popis: | An 11 month old girl presented to the paediatric department with a lower respiratory tract infection. She also had failure to thrive and mild motor developmental delay. On examination, she had swollen wrists bilaterally. A radiograph of her right arm is shown below (fig 1)⇓. Her blood results were urea 4.3 mmol/l, creatinine 29 μmol/l, corrected calcium 2.47 mmol/l, alkaline phosphatase 3340 U/l, and phosphate 1.88 mmol/l. Fig 1 Wrist radiograph of an 11 month old girl with bilateral wrist swelling Fig 2 Wrist radiograph showing splaying, cupping, and widespread demineralisation Fig 3 Chest radiograph showing prominent costochondral joints (rachitic rosary) |
Databáze: | OpenAIRE |
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