Admission lab results were within normal limits, as indicated Table 1 .
X-ray of the right hand revealed a partially missing right fifth fingernail, and a missing fourth distal phalanx. See Figure 1.
An x-ray and MRI of the left foot were suggestive of chronic osteomyelitis of great toe with a pathologic fracture.
Medscape Pediatrics. 2003;5(1) © 2003 Medscape
Cite this: Case #4 - A Child With Painless Wounds - Medscape - Mar 18, 2003.