Image Gallery

You Have To Sign In First
Click here to Sign In


You can answer the question shown below with a picture. Immediately after answering the question the correct answer is displayed to you. And you can see previous questions with its correct answers.


Question:
Sunil Taneja, Rakhi Jain, Gulnaz Nadri, Shailendra Singh Rathore
Madhuraj Hospital, Kanpur, India

Address for Correspondence: Dr. Rakhi Jain, 98,Y1,Kidwai Nagar, Kanpur, India. Email: drrakhi09@gmail.com

A one and a half month old male child presented with irritability and localized swelling over both lower limbs for one week, discovered by the mother while oil massage. There was no history of fever and trauma. The child was born at term by normal delivery. Immunization was complete for age and the baby was exclusively breast fed. There was no history of intake of vitamin supplements. There was no similar history in the parents or sibling nor was there any social problem in the family. On examination, the child was irritable. There was no dysmorphism. Weight, length and head circumference were 4.6 kg, 59 cm and 37.5 cm respectively which were normal for age. There was firm swelling over the medial surface of tibia on both lower limbs which was tender to touch. There was no other swelling over rest of the body. Systemic examination was normal. Investigations showed hemoglobin 11.7gm/dl, total leucocyte count 8400 cells/cumm, platelet count 2,75,000 cells/cumm, ESR 12mm at end of 1 hour, serum calcium 7.8 mg/dl, phosphorus 2mmol/l and alkaline phosphatase 469 IU/L. VDRL of mother was negative. X ray of both lower limbs showed periosteal reaction and sclerotic changes of both tibial bones but there were no osteolytic changes. X ray skull and mandible were normal. MRI of leg showed mild periosteal elevation.

What is the diagnosis_?

Enter Verification :
   =   
Submit Answer
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.