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A term infant was noted to have scalp swelling and widened fontanelles. A skull X-ray on day 14 revealed multiple wormian bones (MWB), which was attributed to vitamin D deficiency and managed with cholecalciferol. He re-presented at 4 months with seizures, developmental delay, sparse hair, white sclera and failure to thrive. Chest X-rays revealed healing right posterolateral 5th–7th rib fractures and subtle expansion of the anterior ribs (figure 1). He …
Contributors RKH wrote the case synopsis and LR collated the images. CL, RV and MS-MC contributed to the editing of the synopsis and image.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Parental/guardian consent obtained.
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