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Wormian bones: thinking beyond osteogenesis imperfecta
  1. Rebecca Kylie Halligan1,
  2. Leanne Royle2,
  3. Claire Lloyd2,
  4. Roshni Vara1,
  5. Moira Shang-Mei Cheung3
  1. 1Paediatric Metabolic Medicine, Evelina London Children's Hospital, London, UK
  2. 2Paediatric Radiology, Evelina London Children's Hospital, London, UK
  3. 3Department of Paediatric Endocrinology, Evelina London Children's Hospital, London, UK
  1. Correspondence to Dr Rebecca Kylie Halligan, Paediatric Metabolic Medicine, Evelina London Children's Hospital, London SE1 7EH, UK; bec.halligan{at}gmail.com

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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 had a …

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Footnotes

  • 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.

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

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