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Updated: Dec 26, 2025
10:08
Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
15.1K
Child with prolonged leg pain and bruising
Emma Bailey1, Alaa Ali1, Fatima Kagalwala1
1Department of Paediatrics, Lister Hospital, Stevenage, UK.
Summary
A 12-year-old boy presented with leg pain and bruising, leading to mobility loss. Further assessment was needed to determine the cause of his symptoms.
Area of Science:
- Pediatric Medicine
- Genetics
- Neurology
Background:
- A 12-year-old boy with autism and 15q13.3 deletion presented with a 4-month history of symptoms.
- Maternal learning difficulties complicated the patient's history.
- The patient experienced a significant weight loss of 6 kg.
Observation:
- Progressive worsening of leg pain and bruising over 4 months.
- Reduced mobility, progressing from difficulty weight-bearing to being wheelchair-bound.
- Examination revealed extensive edema and bruising in the legs, more pronounced on the right.
Findings:
- No history of trauma was reported.
- The patient remained afebrile throughout the illness.
- Clinical stability was maintained despite symptom progression.
Implications:
- The case highlights the diagnostic challenges in pediatric patients with complex backgrounds.
- Further investigation is crucial to identify the underlying cause of leg pain, bruising, and mobility loss.
- Understanding the etiology is essential for appropriate management and intervention.
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