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Multiple epiphyseal dysplasia

Case contributed by Kamel Mahmoud Alkhateeb
Diagnosis certain

Presentation

Multiple joint pain for few months ago.

Patient Data

Age: 10 years
Gender: Female
x-ray

Hips: Small femoral epiphyses with irregular outline. Irregular ossification centers of the greater trochanters. Bilateral acetabular dysplasia

Knees: Irregular outline of the epiphysis of the distal femur and proximal tibia. Mild bilateral valgus knees.

Ankles: Irregular tibial and fibular epiphyses. Flattening with irregularity of the talar dome bilaterally

Case Discussion

Multiple epiphyseal dysplasia (MED) is a rare genetic disorder (an autosomal dominant pattern) that affects the growing ends of bones, characterized by flattening and fragmentation of epiphyses.

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