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Pediatric Radiology Case of the Week:  November 24-December 1, 2011
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1 day old on antenatal ultrasound left kidneys was not seen. Diagnosis please?




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Answer to Case of the Week: Nov 17-Nov 24, 2011

3 different patients with same diagnosis?




One physical finding in the face may help with diagnosis. 

Studies show osteoporosis, bowed bones, healing fractures, Wormian bones(difficult to see on these images).

Diagnosis: Osteogenesis imperfecta

Osteogenesis imperfecta is a congenital anomaly due to a genetic defect affecting 1/30,000-1/70,000 individuals.

It results in defective collagen producing osteoporosis and therefore weak bones, short stature, kyphosis, multiple fractures and bowed bones(due to innumerable fractures).

 Patients may also have poor dentition, blue sclerae, hearing loss and Wormian bones.

It is variable in severity with 8 different types according the the NIH, Type 1 being the most common with a normal life span and Type 2 being the most severe with death usually in the first year of life.

Usually this is autosomal dominant, but new mutations are common and it may even occasionally be autosomal recessive.

Diagnosis is by skin biopsy or by DNA blood tests.

There is no cure.

Treatment is symptomatic primarily treatment of fractures.


Residents Submitting Correct Diagnosis - Case of the Week
Radiology
Pediatrics
VCU Resident
  • Susan Back
  • Jeremy Camden
  • Kathryn Jones
  • Brian Moon
  • Jim Rittimann
  • Morgan Cheatham
  • Michael Foxworth
  • Simran Kalra
    Others
  • Ali Asghar Aghajani AhmadiIslamic Republic of Iran
  • Dr. ajay AgrawalIndia
  • Watfa Al DhaheriCanada
  • Amer AlArefSaudi Arabia
  • Mohammed AlgathradiSaudi Arabia
  • Khaled AlsherbenySaudi Arabia
  • Ahmed BehEgypt
  • Jaime BravoPanama
  • Stephanie BurnsUnited States of America
  • H CUnited States of America
  • Beltsazar DanzIndonesia
  • Rasha ElshafeyEgypt
  • Joseph GiampaUnited States of America
  • Aiser GlayaCanada
  • OLIVA GONZALEZMexico
  • Shettappa GoroshiIndia
  • Omar HassanienEgypt
  • Kshipra HemalUnited States of America
  • M JIndia
  • Ramazan JafariIslamic Republic of Iran
  • Ignasius JapparSingapore
  • Manoj JohnIndia
  • Abdulelah JuhaniSaudi Arabia
  • Khalid KhashoggiSaudi Arabia
  • Sarwanand KhetpalPakistan
  • John KirkhamUnited States of America
  • Kumar LijeshIndia
  • Uma MehtaUnited Arab Emirates
  • He MinChina
  • Louis MorelUnited States of America
  • Seyed mehdi MousaviIslamic Republic of Iran
  • Shaji MpOman
  • Wael NemattallaEgypt
  • Aaron NordgrenUnited States of America
  • J OSaudi Arabia
  • Cristina OnoieRomania
  • Robert PalmerUnited States of America
  • Suhasini PokanatiIndia
  • Navneet RedhuIndia
  • Adsil RogerIndia
  • Rajesh SIndia
  • Prasad SalunkheIndia
  • Nirushini SathiyakumarSri Lanka
  • Peter SchirmerBrazil
  • AMIT SHETTYIndia
  • MOHAMMED AZFAR SIDDIQUIIndia
  • Chad St. GermainUnited States of America
  • Ashlesha UdareIndia
  • Aneel VaswaniPakistan
  • Trevor WatkinsAustralia
  • Lincoln WongUnited States of America

    Past Winners for Pediatric Case of the Week:

    Jonathan Ha, MD Samantha Pollard MD, VCU Pediatrics Wael Nemattalla, MD - Egypt
    Jonathan Ha, MD Samantha Pollard MD, VCU Pediatrics Wael Nemattalla, MD - Egypt
    2010 - Aaron Nordgren, MD (Radiology), Shadi Jurdi, MD (Pediatrics), Jamal Abazid, MD (Syria)
    2009 - Arash Chehrazi, MD, Gitanjali Bajaj, MD (India) and Ante Wind, MD (Pediatrics)
    2008 - Jeff VandeSand, MD
    2007 - Scott Conrad, MD
    2006 - Alex Hongkham, MD
    2005 - Alex Hongkham, MD
    2004 - Marc Camacho, MD
    2003 - Ashley Merritt, MD
    2002 - Don Doherty, MD
    2001 - Michael Montileone, MD

    Starting 2009, any international student/resident with most number of correct answers will also be added to winners list and a book award will be mailed.

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    Disclaimer: This information is intended solely for resident review of presented cases which may or may not be pathologically proven. Information is derived from a number of published sources of varying reliability and does not represent original research from the institution. It is not intended to be comprehensive and should therefore not substitute for careful review of the literature.