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Erschienen in:
01.05.2010 | Clinical Image
Osteopetrorickets: infantile malignant osteopetrosis paradoxically complicated by rickets
Erschienen in: Pediatric Radiology | Ausgabe 5/2010
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This 6-month-old girl presented with intermittent esotropia and a bulging fontanelle. CT head demonstrated significant thickening of the calvaria and facial bones. Subsequent radiographic skeletal survey revealed diffuse sclerotic bones with obliteration of the marrow cavity with a bone-in-bone appearance in the small bones of the hands and feet, consistent with osteopetrosis. Additional findings included diffuse metaphyseal cupping and fraying, widening of the physes, and periosteal new bone formation along the long bones (Figs. 1 and 2). Radiographic features along with clinical and biochemical findings were consistent with superimposed rickets.
Fig. 1
AP view of the right wrist
Fig. 2
AP view of lower extremities
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