Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Vitamin D deficiency rickets simulating child abuse

C R Paterson

    Journal of Pediatric Orthopedics
    |January 1, 1981
    PubMed
    Summary

    This case study highlights a Bengali child misdiagnosed with nonaccidental injury due to rickets, emphasizing the importance of recognizing skeletal manifestations of nutritional deficiencies in pediatric cases.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Prescribing a website.

    Scottish medical journal·2005
    Same author

    Bone health in patients with fibromyalgia.

    Rheumatology (Oxford, England)·2003
    Same author

    Peripheral bone mineral density in patients with distal radial fractures.

    The Journal of bone and joint surgery. British volume·2003
    Same author

    Musculo-skeletal problems associated with pregnancy in women with osteogenesis imperfecta.

    Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology·2003
    Same author

    Severe symptomatic osteoporosis in patients on androgen deprivation therapy for prostatic carcinoma.

    Scandinavian journal of urology and nephrology·2002
    Same author

    Osteopenia has a differential diagnosis.

    Scottish medical journal·2002

    Area of Science:

    • Pediatric Radiology
    • Nutritional Deficiencies
    • Skeletal Dysplasias

    Background:

    • Failure to thrive in children can stem from various causes, including nutritional deficiencies and nonaccidental trauma.
    • Radiographic interpretation in pediatric cases requires careful consideration of differential diagnoses.

    Observation:

    • A 2 1/2-year-old Bengali child presented with failure to thrive and multiple extremity fractures.
    • Skull radiographs revealed widened sutures and fracture-like changes, initially mistaken for nonaccidental injury.
    • Rachitic changes were present but initially overlooked.

    Findings:

    • Skeletal abnormalities were ultimately diagnosed as rickets, with some fractures identified as pseudofractures.
    • Malnutrition associated with rickets complicated radiographic interpretation, particularly of epiphyseal changes.
    • The child was initially placed in foster care due to suspected nonaccidental injury.

    Implications:

    • Accurate diagnosis of rickets is crucial to prevent misdiagnosis of nonaccidental injury in children.
    • Radiologists and clinicians must be aware of the diverse skeletal manifestations of nutritional rickets.
    • Early recognition and management of rickets can prevent long-term skeletal complications and improve child welfare.

    Related Experiment Videos