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Vitamin D resistance with radiographic appearance of healing rickets Radiographically apparent SCFE on AP view

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Vitamin D resistance with radiographic appearance of healing rickets Radiographically apparent SCFE on AP view

History: 13 y/o male with non-painful bilateral genu valgum. Mother with rickets “as a child”

Findings: Bilateral femoral physeal widening with dense metaphyseal bands. Bilateral slipped capital femoral epiphysis noted. Additionally, the sacroiliac joints appear widened adn there are bilateral coxa vara deformities. The constellation of findings suggests a systemic process due to abnormal Vitamin D metabolism.

Ddx: Secondary Hyperparathyroidism, due to renal disease Primary Hyperparathyroidism Idiopathic SCFE Vitamin D deficiency Calcium deficiency Phosphorus deficiency Congenitally low femoral head placement

Exam: Bilateral genu valgum. Normal neurovascular exam. No palpable deformities. Serum calcium normal. Vitamin D level normal.

No MeSH data available.


Mild bilateral genu valgum deformity.
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MPX2135_synpic15563: Mild bilateral genu valgum deformity.


Vitamin D resistance with radiographic appearance of healing rickets Radiographically apparent SCFE on AP view

USU Teaching File MUTF - MedPix

Mild bilateral genu valgum deformity.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2135&req=5

MPX2135_synpic15563: Mild bilateral genu valgum deformity.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Vitamin D resistance with radiographic appearance of healing rickets Radiographically apparent SCFE on AP view

History: 13 y/o male with non-painful bilateral genu valgum. Mother with rickets “as a child”

Findings: Bilateral femoral physeal widening with dense metaphyseal bands. Bilateral slipped capital femoral epiphysis noted. Additionally, the sacroiliac joints appear widened adn there are bilateral coxa vara deformities. The constellation of findings suggests a systemic process due to abnormal Vitamin D metabolism.

Ddx: Secondary Hyperparathyroidism, due to renal disease Primary Hyperparathyroidism Idiopathic SCFE Vitamin D deficiency Calcium deficiency Phosphorus deficiency Congenitally low femoral head placement

Exam: Bilateral genu valgum. Normal neurovascular exam. No palpable deformities. Serum calcium normal. Vitamin D level normal.

No MeSH data available.