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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 343:1634-1638 November 30, 2000 Number 22
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Case 37-2000— An 11-Day-Old Boy with an Osteolytic Tibial Lesion
John E. Ready, and Suzanne B. Keel

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Presentation of Case

An 11-day-old boy was admitted to the hospital because of an osteolytic lesion in the right tibia.

The infant was born at 39 1/2 weeks' gestation to a woman who had had one previous pregnancy, which had ended in a spontaneous abortion. Her immunizations were up to date. She had attended all prenatal examinations and had taken prenatal vitamins. She had refused a test to measure the alpha-fetoprotein level and an amniocentesis. The results of all other routine prenatal laboratory tests were normal, and a vaginal culture for group B streptococci was negative. Vaginal delivery was induced because of mild . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. John E. Ready's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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