Article Text
Statistics from Altmetric.com
A 5-week-old infant was referred with discomfort and poor weight gain. Clinical examination showed malnutrition, fever, right-elbow swelling and recent erythematosus plaques with palmoplantar lesions. Non-accidental injury (NAI) was suspected after a right-elbow fracture was identified. A skeletal survey highlighted multiple fractures, with destruction of the medial metaphyses of both humeri, ulnae, radii and tibias, and diffuses periosteal reactions (figure 1A–C). Blood tests showed 150 mg/L C reactive protein and a leucocyte count of 22 000/mm3. The infant was treated with cefotaxime and gentamicin. The presence of a …
Footnotes
Twitter Follow Anne-Laure Hérissé @Annelaure.Herisse
Competing interests None declared.
Patient consent Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.