Rickets

Case contributed by Subhan Iqbal
Diagnosis almost certain

Presentation

History of poor appetite, lethargy and recurrent infections

Patient Data

Age: 14 months
Gender: Female
x-ray

There is cupping, fraying and splaying noted at metaphysis of the wrist joint in both distal ends of radius and ulna, findings are typical of rickets

Annotated image

Wrist zoomed image

Case Discussion

Further metabolic profile was performed that confirms metabolic bone disease i.e. rickets

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