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Radiological Case of the Month

Chakib Bennani-Smires, MD; Jocyline Medina, MD; Lionel W. Young, MD
Am J Dis Child. 1980;134(12):1155-1156. doi:10.1001/archpedi.1980.02130240039012.
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A 3,200-g male infant was delivered by cesarean section because of fetal distress after an uneventful 38-week gestation. On the second day of life, fever and diarrhea developed. At 2 weeks of age, because of his failure to tolerate oral feedings, persistent diarrhea, and dehydration, total parenteral hyperalimentation therapy was started. A complete blood cell count showed a hypochromic, normocytic anemia. Results of a stool examination, an upper gastrointestinal series, and barium enema examinations were normal. A biopsy of the small bowel showed flattening of the mucosa consistent with chronic intractable diarrhea. By 5 months of age, he weighed 5,100 g and was pale but alert, nourished almost continuously by parenteral hyperalimentation. Diarrhea was persistent and without a definite cause. On roentgenographic examination of the chest, subperiosteal new bone of the diaphyses of the humeri was noted, and a roentgenogram of the lower limbs was obtained (Fig 1). Although


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