Case #4 - A Child With Painless Wounds

Janaina Nogueira, MD, Janice Ford, MD, Mary Mancao, MD, Paul Maertens, MD


March 17, 2003

Laboratory Analysis

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.


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