Childhood multifocal skeletal non-Hodgkin lymphoma is a differential diagnosis of battered child syndrome.
Skeletal lesions observed in battered children include fractures, subperiostal new bone formation, irregular metaphyses, and cone-shaped epiphyses. A 4-year-old girl presented with bone pain. Radiographs revealed multiple fractures and epiphyseal and metaphyseal lesions highly significant for battered child syndrome. Six weeks later the authors diagnosed primary multifocal skeletal non-Hodgkin lymphoma. This case report illustrates that multifocal skeletal non-Hodgkin lymphoma is a differential diagnosis of battered child syndrome.
Department of Pediatric Oncology, Hematology, and Immunology, Heinrich Heine-University, Düsseldorf, Germany.
Christian P
CP
Kratz
Bernd
B
Schweiger
Helmut
H
Kemperdick
Ulrich
U
Göbel
D001497:Battered Child Syndrome / Q000175:diagnosis*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004838:Epiphyses / Q000293:injuries; D005260:Female; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000000981:diagnostic imaging; D018482:Muscle, Skeletal / Q000000981:diagnostic imaging; D011859:Radiography