Access current issue (February 2011) online

A 4 1/2 years old boy presented with multiple fractures since 1 1/2 months of age. he had fracture in bilateral arms at 1 1/2 months of age without trauma. His bone dexa scan shows severe osteoporosis.

Is it osteogenesis imperfecta, Ehler Danlos Syndrome or Kabuki Syndrome?

Ira Shah

An 11 year old HIV infected girl on 3 drugs ART consisting of Zidovudine (AZT), Lamivudine (3TC) and Efavirenz (EFV) since past 1 year presented with generalized swelling all over body with itching and rash since 5 days. She was given Nevirapine (NVP) instead of EFV by a local hospital 7 days ago. She also has NVP induced rash 1 year ago when she was first started on ART and hence shifted to EFV.

What could be the cause of present problems?

Read the entire teaching clinical query in the section of “TEACHING FILES” and try the correct answer.

Last month's teaching file: A 6 month old boy with congenital moderate ventricular septal defect (VSD) on decongestive measures consisting of frusemide and digoxin presented with irritability, vomiting and oliguria since 2 days. What is the diagnosis? How to treat?


Answer: Digoxin toxicity.

Gursharn Singh Narang, Jivtesh Singh Pahwa
Retrospective Study of Acute Flaccid Paralysis Cases from a Tertiary Care Centre in Amritsar.

Narendra Chaudhary, Sheetal Sharda
Congenital Hypothyroidism Induced Spondyloepiphyseal Dysplasia- A Case Report

Poovazhagi V, Mullai Balaji, P S Muralidharan
Familial hypercholesterolemia in siblings with Diabetes Mellitus.

Shashidhar A, Bijal Rughani, S R Keshavamurthy.
Complete penoscrotal transposition- A rare congenital anomaly.

Altaf Naseem, Sindhu Somireddy

A six years old male child presented with multiple swellings over the body, pain and short stature. X-rays are depicted below.

What is the diagnosis?

Try your clinical skills in the “SPOT DIAGNOSIS” for the fortnight and the lucky winner gets a child health CD – courtesy Pediatric Oncall

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