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Perthes' disease and blood manganese levels
  1. C A PERRY, Senior Researcher
  1. Cheshire Public Health Research and Resource Unit
  2. Chester College, Parkgate Road
  3. Chester CH1 4BJ, UK
  4. 39 South Road, Liverpool L19 OLS, UK
  5. Alder Hey Hospital, Liverpool L12 2AP, UK
  6. New Medical School, Liverpool L69 3GE, UK
  7. Southampton General Hospital SO16 6YD, UK
    1. J F TAYLOR, Consultant Orthopaedic Surgeon
    1. Cheshire Public Health Research and Resource Unit
    2. Chester College, Parkgate Road
    3. Chester CH1 4BJ, UK
    4. 39 South Road, Liverpool L19 OLS, UK
    5. Alder Hey Hospital, Liverpool L12 2AP, UK
    6. New Medical School, Liverpool L69 3GE, UK
    7. Southampton General Hospital SO16 6YD, UK
      1. A NUNN, Director of Pharmacy
      1. Cheshire Public Health Research and Resource Unit
      2. Chester College, Parkgate Road
      3. Chester CH1 4BJ, UK
      4. 39 South Road, Liverpool L19 OLS, UK
      5. Alder Hey Hospital, Liverpool L12 2AP, UK
      6. New Medical School, Liverpool L69 3GE, UK
      7. Southampton General Hospital SO16 6YD, UK
        1. P H DANGERFIELD, Senior Lecturer in Human Anatomy
        1. Cheshire Public Health Research and Resource Unit
        2. Chester College, Parkgate Road
        3. Chester CH1 4BJ, UK
        4. 39 South Road, Liverpool L19 OLS, UK
        5. Alder Hey Hospital, Liverpool L12 2AP, UK
        6. New Medical School, Liverpool L69 3GE, UK
        7. Southampton General Hospital SO16 6YD, UK
          1. H DELVES, Consultant Biochemist, Chemical Pathology Unit
          1. Cheshire Public Health Research and Resource Unit
          2. Chester College, Parkgate Road
          3. Chester CH1 4BJ, UK
          4. 39 South Road, Liverpool L19 OLS, UK
          5. Alder Hey Hospital, Liverpool L12 2AP, UK
          6. New Medical School, Liverpool L69 3GE, UK
          7. Southampton General Hospital SO16 6YD, UK

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            Editor,—Children with Perthes' disease have aseptic necrosis of the hip and a selective impairment of growth. Trace metal deficiency in chickens leads to a similar condition, and in 1989 Hall et al reported low blood manganese levels in 27 children with this disease.1 With consent from the ethical committee of the same hospital as in their study, we have measured blood Mn of a further group of Perthes' patients, and control patients with minor musculoskeletal trauma matched for age and sex. Blood was drawn …

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