Clinical case of Blount's disease and its differential diagnosis

O. Kolbe, G.B. Bekmurzayeva, S. Semin, I. Osmanov, E. Tambieva
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Abstract

Lower extremities deformation is observed quite often in infants. One of the Blount's disease diagnosis features is the difficulty of its differential diagnosis of when excluded from other conditions such as rickets, rickets-like diseases and physiological curvature of the lower extremities in infants. Article represents the main diagnostic criteria for the abovementioned diseases. A clinical case of a patient with Blount's disease who had deviations in calcium-phosphorus metabolism that in their turn are uncommon for this pathology is described. The entire set of clinical and laboratory signs analysis was carried out in details, which then made it possible to carry out a differential diagnosis and exclude hereditary forms of rickets, primarily hypophosphatemic rickets as the reason for pronounced varus deformity of the legs in a 2.5 y/o pediatric patient. The tactics for further treatment by a specialized practitioner had been determined as well.
布隆氏病的临床病例及其鉴别诊断
下肢变形在婴儿中很常见。布隆氏病的诊断特点之一是很难与其他疾病(如佝偻病、佝偻病样疾病和婴儿下肢生理性弯曲)进行鉴别诊断。本文介绍了上述疾病的主要诊断标准。文中描述了一个布隆氏症患者的临床病例,该患者的钙磷代谢出现偏差,而这种偏差在该病症中并不常见。该病例详细分析了整套临床和实验室体征,从而进行了鉴别诊断,排除了遗传性佝偻病,主要是低磷性佝偻病,这也是一名 2.5 岁儿童患者双腿明显屈曲畸形的原因。此外,还确定了由专业医生进行进一步治疗的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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