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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}

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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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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.