Erschienen in:
17.03.2021 | Clinical Quiz
A 5-year-old girl with bony deformities and disproportionate short stature: Questions
verfasst von:
Rangaswamy Darshan, Sriram Krishnamurthy, Bobbity Deepthi, Pediredla Karunakar, Aakash Chandran Chidambaram, Arumugom Archana
Erschienen in:
Pediatric Nephrology
|
Ausgabe 10/2021
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Excerpt
A 5-year-old girl presented with concerns of poor gain in height along with bony deformities of the lower limbs noticed for the past 1 year. The parents had noted that the child was shorter compared to peers of the same age. The developmental milestones, however, were appropriate for her age except for mild gross motor developmental delay. There was no history suggestive of recurrent infections, malabsorption, hypothyroidism, polyuria, polydipsia, jaundice, hair loss, recurrent joint pain or joint swelling, progressive limb deformities, neck floppiness, weakness, fracture, tetany, carpopedal spasms, or seizures. The dentition was appropriate for age. There was no alopecia. She was a full-term (38 weeks gestation) second-born child to non-consanguineous parents with a birth weight of 2.75 kg. Her perinatal transition was smooth. She had a 7-year-old elder brother whose growth and development were appropriate for age. Parents denied similar complaints in other family members. …