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A correction has been published: N Engl J Med 2001;345(24):1784.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 345:903-908 September 20, 2001 Number 12
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Case 29-2001— A 14-Year-Old Boy with Abnormal Bones and a Sacral Mass
Richard M. Terek, M.D., and G. Petur Nielsen, M.D.

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Presentation of Case

A 14-year-old boy was admitted to the hospital because of bone pain and skeletal abnormalities.

The patient had been vigorously active until one year before admission, when he began to have intermittent pain in his knees, which became more frequent and was followed by the development of pain in the right hip and both feet. Two months before admission, the lower right leg became edematous and tender. Radiographs of the legs, obtained elsewhere, revealed no abnormalities. He was admitted to this hospital.

The boy was a native of the Dominican Republic. His diet was adequate and included milk and ice . . . [Full Text of this Article]

Differential Diagnosis

Causes of the Abnormal Gait, Pain, and Bone Abnormalities

Rickets and Osteomalacia

Causes of the Sacral Mass

Clinical Diagnosis

Dr. Richard M. Terek's Diagnosis

Pathological Discussion

Anatomical Diagnoses

Addendum

References


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