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Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
Published on: January 29, 2018
Orthopaedic Manifestations of Scurvy in an Otherwise Healthy Child from a Low Opportunity Index Neighborhood: A Case
Alexandra L Falkenberg1, Alexa J Karkenny2, Melinda S Sharkey2
1Albert Einstein College of Medicine, Bronx, New York.
Case:
A 23-month-old otherwise healthy female child from a low opportunity index neighborhood presented with 1 month of lower extremity pain and refusal to bear weight. Radiographic evaluation of bilateral knees revealed lucent metaphyseal bands and a nondisplaced distal femoral metaphyseal corner fracture. A workup identified vitamin C deficiency (scurvy), and the child's symptoms and radiographic abnormalities resolved with vitamin C supplementation.
Conclusions:
Scurvy should be considered in children with unexplained musculoskeletal symptoms who may lack access to nutrient-dense foods.
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