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Dense metaphyseal bands

Case contributed by Imran Ahmad Khan
Diagnosis certain

Presentation

Severe knee pain.

Patient Data

Age: 11 years
Gender: Female

Symmetric dense metaphyseal...

x-ray

Symmetric dense metaphyseal bands

Symmetric dense metaphyseal bands are noted in the lower end of femur and upper end of tibia and fibula. 

Case Discussion

Child is a known case of thalassemia. Had a bone marrow transplant recently.

Now presented with severe knee pain. A clinical diagnosis of transient synovitis was made. 

Reassurance was given to the parents. The child was advised to practice sports. They were asked to come for follow up in the clinic after 3 months.

Thalassemia is one of the known causes of dense metaphyseal bands. 

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