Question
A 10-year-old girl suffering from bleeding gums, poor wound healing, and anemia, presented with the following features on X-ray.Regarding this condition, which is the most definite sign on the X-ray for the diagnosis?
| A. |
Frenkel white line
|
| B. |
Wimberger sign
|
| C. |
Pelken Spur
|
| D. |
Bowing of legs
|
Show Answer
|
Correct Answer � B
Explanation
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|
Ans:B.)Wimberger sign
The patient in question is suffering from Scurvy
SCURVY
• Scurvy: first disease identified due to dietary deficiency.
• Primary metabolic bone disorder in scurvy is decreased osteoid matrix formation.
Clinical features
- Swollen gums which bleed easily
- Perifollicular and petechial hemorrhages
- Ecchymoses, Hemarthrosis
- GI bleeding
- Anemia
- Poor wound healing
- Coiled hairs
- Bowing of legs
- Pseudoparalysis.
- Hyperkeratosis
Radiological features
- Most commonly around knee
- Pencil thin cortex
- Trummer field zone(metaphyseal lucency)
- Frenkel white line
- Pelkan spur(lateral extension of white line)
- Wimberger sign(ringed epiphysis): Definitive sign.
- Zone of rarefaction below white line
- Cortical spur
- Epiphyseal separation
- Metaphyseal porosis
- Metaphyseal infarction
- Metaphyseal calcification
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