SCURVY :
v Due to Vit. C deficiency
v Characterised by generalised hemorrhagic tendency.
v Most common in infants between 5 - 10 months
v When associated with Rickets : Barton's Disease
v Endochondral ossification ceases.
Clinical Features :
v Restless, Fibrile child
v Affected limb is swollen, tender, painful with muscular spasm (Pseudo Paralysis)
v Bluish spongy gums especially upper central incisor
v Skin ecchymosis, hematuria, hematemesis
v Epiphyseal fracture separation : At lower femur, upper tibia, upper humerus
Costochondral separation (Scorbotic rosary)
v Anaemia
X - Rays :
v Groud glass appearance
v Subperiosteal haemorrhage - ossification
A. White line of frankel : dense line between Epiphysis and Metaphysis
B. Scurvy Line : Dense line between Metaphysis
C. Wimberger's Line : Dense line within epiphysis
D. Pelkan Spur : A bone spur from lateral border of metaphysis
A unique application of web 2.0 in Radiology (also known as Radiology 2.0) since 2004. Widely recognized and cited by various journals and magazines. One of the first mover in the world of Rad-blogging
Sunday, September 12, 2004
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2 comments:
Scary stuff
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