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December 1980, Vol 134, No. 12 >
Article | December 1980

Radiological Case of the Month FREE

Chakib Bennani-Smires, MD; Jocyline Medina, MD; Lionel W. Young, MD
[+] Author Affiliations

Contributed from the Department of Radiology, Children's Hospital of Pittsburgh.

Reprint requests to Department of Radiology, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr L. W. Young).


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

REFERENCES

1 +
Cordano A, Graham GG:  Copper deficiency complicating severe chronic intestinal malabsorption . Pediatrics 1966;;38:596-606.
2 +
Ashkenazi A, Levin S, Djaldetti M, et al:  The syndrome of neonatal copper deficiency . Pediatrics 1973;;52:525-533.
3 +
Seely JR, Humphrey GB, Matter BJ:  Copper deficiency in a premature infant fed on iron-fortified formula . N Engl J Med 1972;;286:109-110.
4 +
Griscom NT, Craig JN, Neuhauser EBD:  Systemic bone disease developing in small premature infants . Pediatrics 1971;;48:883-895.
5 +
Heller RM, Kirschner SG, O'Neill TA Jr, et al:  Skeletal changes of copper deficiency in infants receiving prolonged total parenteral nutrition . J Pediatr 1978;;92:947-950.
6 +
Karpel JT, Peden VH:  Copper deficiency in long-term parenteral nutrition . J Pediatr 1972;;80:32-36.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Cordano A, Graham GG:  Copper deficiency complicating severe chronic intestinal malabsorption . Pediatrics 1966;;38:596-606.
2 +
Ashkenazi A, Levin S, Djaldetti M, et al:  The syndrome of neonatal copper deficiency . Pediatrics 1973;;52:525-533.
3 +
Seely JR, Humphrey GB, Matter BJ:  Copper deficiency in a premature infant fed on iron-fortified formula . N Engl J Med 1972;;286:109-110.
4 +
Griscom NT, Craig JN, Neuhauser EBD:  Systemic bone disease developing in small premature infants . Pediatrics 1971;;48:883-895.
5 +
Heller RM, Kirschner SG, O'Neill TA Jr, et al:  Skeletal changes of copper deficiency in infants receiving prolonged total parenteral nutrition . J Pediatr 1978;;92:947-950.
6 +
Karpel JT, Peden VH:  Copper deficiency in long-term parenteral nutrition . J Pediatr 1972;;80:32-36.

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