Case: A 12 month old Malay aboriginee child presented with a fever and cough for 3 weeks and swelling and tenderness of her legs for 2 weeks. She was an irritable, crying child, unable to close a painful mouth or sit up and showed little voluntary leg movement. Her leg x-rays were as shown. What was the diagnosis.

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Case: The image of the knee illustrates the typical signs of scurvy. There is (1) a radiodense band at the provisional line of calcification, (2) a dense outlining of a small epiphysis, the "ring sign of scurvy" (3) a wedge shaped "corner sign of scurvy". The child had been breast fed for the first 6 month of life and on sweetened condensed milk for the last 6 months. Follow up x-rays (on the right) several weeks after vitamin C treatment show calcification of the periosteum elevated by sub-periosteal hemorrhages before treatment.
	previtamin C	post vitamin C

   since Sept 29, 2005