Vitamin deficiency in a toddler reluctant to use her arm.
Children frequently present to accident and emergency departments with limb pain, usually following trauma. An unusual cause of atraumatic limb pain in a toddler is described in this report. Rickets should be added to the differential diagnosis of atraumatic limb pain in this age group. The possibility of acute bony injury (following unwitnessed trauma) not apparent on X-ray needs to be considered in this case. Suspicion of rickets, based on clinical features and radiographic findings, can be confirmed by biochemical assays.
Gaffney
P
P
Accident and Emergency Department, General Infirmary at Leeds, UK.
D001134:Arm Injuries / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D010146:Pain / Q000209:etiology*; D011859:Radiography; D011884:Radius / Q000000981:diagnostic imaging; D012279:Rickets / Q000150:complications* / Q000175:diagnosis*; D014457:Ulna / Q000000981:diagnostic imaging