Limits...
MR imaging in a child with scurvy: a case report.

Choi SW, Park SW, Kwon YS, Oh IS, Lim MK, Kim WH, Suh CH - Korean J Radiol (2007 Sep-Oct)

Bottom Line: Nevertheless, it still exists in higher risk groups including economically disadvantaged populations with poor nutrition, such as the elderly and chronic alcoholics.The incidence of scurvy in the pediatric population is very low.This study reports a case of scurvy in a 5-year-old girl with cerebral palsy and developmental delay based on MRI findings.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, College of Medicine, Inha University, Incheon, Korea.

ABSTRACT
Scurvy is very rare disease in industrialized societies. Nevertheless, it still exists in higher risk groups including economically disadvantaged populations with poor nutrition, such as the elderly and chronic alcoholics. The incidence of scurvy in the pediatric population is very low. This study reports a case of scurvy in a 5-year-old girl with cerebral palsy and developmental delay based on MRI findings.

Show MeSH

Related in: MedlinePlus

MRI of the left thigh performed at the first hospital day.A. Coronal T2-weighted image shows a diffuse bone marrow signal change (black arrows) of the femur shaft with a large amount of subperiosteal fluid collection (arrowhead) and displacement of the distal epiphysis (white arrow).B.Axial T2-weighted image shows a fluid-fluid level in the subperiosteal fluid collection (black arrow). The surrounding vastus and hamstring muscles also show high intensity signal lesions (white arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2626813&req=5

Figure 2: MRI of the left thigh performed at the first hospital day.A. Coronal T2-weighted image shows a diffuse bone marrow signal change (black arrows) of the femur shaft with a large amount of subperiosteal fluid collection (arrowhead) and displacement of the distal epiphysis (white arrow).B.Axial T2-weighted image shows a fluid-fluid level in the subperiosteal fluid collection (black arrow). The surrounding vastus and hamstring muscles also show high intensity signal lesions (white arrows).

Mentions: An MRI of the left thigh performed on the first hospital day revealed diffuse bone marrow signal changes in the femoral shaft with large subperiosteal fluid collection and displacement of the distal epiphysis. The marrow changes appeared as heterogeneous high and low signal intensities on T1-weighted images and heterogeneous high and intermediate signal intensity on T2-weighted images. The subperiosteal fluid collection had low signal intensity on T1-weighted images and high signal intensity at fluid-fluid levels on T2-weighted images. The soft tissue of the left thigh, including the vastus and hamstring muscles, showed high signal intensity lesions on the T2-weighted images. The periosteum and surrounding muscles of the thigh were moderately enhanced on contrast enhanced fat suppressed T1-weighted images (Fig. 2). A bone scintigraphy performed on the seventh hospital day showed no definite hot uptake in the left femur and a decreased uptake in the epiphyseal plate of the left distal femur. We began antibiotic therapy for the impression of osteomyelitis with subperiosteal abscess.


MR imaging in a child with scurvy: a case report.

Choi SW, Park SW, Kwon YS, Oh IS, Lim MK, Kim WH, Suh CH - Korean J Radiol (2007 Sep-Oct)

MRI of the left thigh performed at the first hospital day.A. Coronal T2-weighted image shows a diffuse bone marrow signal change (black arrows) of the femur shaft with a large amount of subperiosteal fluid collection (arrowhead) and displacement of the distal epiphysis (white arrow).B.Axial T2-weighted image shows a fluid-fluid level in the subperiosteal fluid collection (black arrow). The surrounding vastus and hamstring muscles also show high intensity signal lesions (white arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2626813&req=5

Figure 2: MRI of the left thigh performed at the first hospital day.A. Coronal T2-weighted image shows a diffuse bone marrow signal change (black arrows) of the femur shaft with a large amount of subperiosteal fluid collection (arrowhead) and displacement of the distal epiphysis (white arrow).B.Axial T2-weighted image shows a fluid-fluid level in the subperiosteal fluid collection (black arrow). The surrounding vastus and hamstring muscles also show high intensity signal lesions (white arrows).
Mentions: An MRI of the left thigh performed on the first hospital day revealed diffuse bone marrow signal changes in the femoral shaft with large subperiosteal fluid collection and displacement of the distal epiphysis. The marrow changes appeared as heterogeneous high and low signal intensities on T1-weighted images and heterogeneous high and intermediate signal intensity on T2-weighted images. The subperiosteal fluid collection had low signal intensity on T1-weighted images and high signal intensity at fluid-fluid levels on T2-weighted images. The soft tissue of the left thigh, including the vastus and hamstring muscles, showed high signal intensity lesions on the T2-weighted images. The periosteum and surrounding muscles of the thigh were moderately enhanced on contrast enhanced fat suppressed T1-weighted images (Fig. 2). A bone scintigraphy performed on the seventh hospital day showed no definite hot uptake in the left femur and a decreased uptake in the epiphyseal plate of the left distal femur. We began antibiotic therapy for the impression of osteomyelitis with subperiosteal abscess.

Bottom Line: Nevertheless, it still exists in higher risk groups including economically disadvantaged populations with poor nutrition, such as the elderly and chronic alcoholics.The incidence of scurvy in the pediatric population is very low.This study reports a case of scurvy in a 5-year-old girl with cerebral palsy and developmental delay based on MRI findings.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, College of Medicine, Inha University, Incheon, Korea.

ABSTRACT
Scurvy is very rare disease in industrialized societies. Nevertheless, it still exists in higher risk groups including economically disadvantaged populations with poor nutrition, such as the elderly and chronic alcoholics. The incidence of scurvy in the pediatric population is very low. This study reports a case of scurvy in a 5-year-old girl with cerebral palsy and developmental delay based on MRI findings.

Show MeSH
Related in: MedlinePlus