A boy with bone pain, rash, and gingival hypertrophy - Scurvy

被引:51
作者
Duggan, Christopher P. [1 ]
Westra, Sjirk J.
Rosenberg, Andrew E.
Grinspan, Zachary M.
Harris, Nancy Lee
Whelan, J. Patrick
Seashore, Carl
Rosenberg, Andrew E.
机构
[1] Childrens Hosp, Dept Med, Div Gastroenterol & Nutr, Boston, MA 02115 USA
[2] Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
[3] Massachusetts Gen Hosp, Dept Pathol, Boston, MA 02114 USA
[4] Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA
[5] Harvard Univ, Sch Med, Dept Radiol, Boston, MA 02115 USA
[6] Harvard Univ, Sch Med, Dept Pathol, Boston, MA 02115 USA
关键词
D O I
10.1056/NEJMcpc079017
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 9-year-old boy with autism was admitted to the hospital because of pain in the hip, rash, and swelling of the gingiva. Three months earlier, pain in his right hip developed, and he eventually refused to walk. Physical examination disclosed no joint swelling, and radiographs of the pelvis and spine were normal. Indomethacin was prescribed; the pain improved, but a petechial rash on the legs and gingival swelling developed. Copyright © 2007 Massachusetts Medical Society.
引用
收藏
页码:392 / 400
页数:9
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