Arch Dis Child doi:10.1136/archdischild-2013-304097
  • Images in paediatrics

Challenges in recognising significant back pain in a child with learning difficulties

  1. Karina Mohd Daud
  1. Correspondence to Dr Karina Mohd Daud, Department of Paediatrics, Chase Farm Hospital, The Ridgeway, Enfield, Middlesex EN2 8JL, UK; karinadaud{at}
  • Accepted 12 April 2013
  • Published Online First 4 May 2013

A 7-year-old boy was referred to our paediatric department with a 5-month history of back pain radiating down his right leg associated with a palpable back mass. He had increased difficulty climbing stairs and walking. He had a background of global developmental delay including severe expressive and receptive language difficulties. He was attending mainstream school with support. …

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