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Menkes Disease Mimicking Child Abuse
Pediat Dermatol 34:e132-e134, Droms, R.J.,et al, 2017
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Article Abstract
Although Menkes disease has well-recognized neurologic, developmental, and cutaneous features, the initial presentation may resemble child abuse. We describe a 5-month-old boy with multiple fractures indicative of nonaccidental trauma who was ultimately diagnosed with Menkes disease. Copper deficiency leads to connective tissue abnormalities and may result in subdural hematomas, wormian bones, cervical spine defects, rib fractures, and spurring of the long bone metaphyses. Several of these findings, including fractures and subdural hematomas, may be misinterpreted as child abuse.
 
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child abuse
children
copper deficiency
fracture,long bone
infant,evaluation of
long bone lesion
misdiagnosis
MRI,abnormal
retroperitoneal hemorrhage
rib fracture
subdural hematoma
trichopoliodystrophy

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