TY  - JOUR
T1  - PIcture of the month
AU  - Riepe FG, Eichmann D, Oppermann HC, Schmitt HJ, Tunnessen WW, Jr
Y1  - 2001/05/01
N1  - 10.1001/archpedi.155.5.607
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 607
EP  - 608
VL  - 155
IS  - 5
N2  - 
A 15-MONTH-OLD boy had a history of unexplained bleeding from his gums for several weeks and fever for 2 days. He had been fed only cow's milk and oatmeal since age 4 months. On physical examination he had almost no spontaneous movement. His legs were held in a "frog leg" position (Figure 1), were swollen along the long bones, and were tender to palpation. His skin was dry and pale. Hemorrhages of the gingiva were obvious as were 2 blood-filled cysts of the lower canine teeth (Figure 2). The tympanic membranes were hyperemic, and evidence of middle-ear fluid was present. Palpable prominence of the costochondral junctions of the chest wall was noted.

SN  - 1072-4710
M3  - doi: 10.1001/archpedi.155.5.607
UR  - http://dx.doi.org/10.1001/archpedi.155.5.607
ER  -