PMC5946015_01
PMC5946015_02
PMC5946015_03
Patient's clinical features on admission: swelling and antalgic posture of left tight (A), pigmented and easy bleeding gums (B), petechial lesions (C).
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F1
Swollen and bleeding gums, diffuse petechiae, swollen and intense pain at left tight could be documented (Figure 1.
Lower limb X-Ray showing generalized osteopenia, metaphyseal spurs with concomitant cupping of the metaphysis ("Pelken spurs", arrow A), lucent metaphyseal bands ("Trummerfeld zone"; arrow B) and dense metaphyseal line ("Frankel's line"; arrow C). Extended periosteal reaction could also be documented (arrow D).
fped-06-00126-g0002.jpg
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F2
Femoral X-ray documented extended periosteal reaction, metaphyseal spurs with concomitant cupping of the metaphysis (Pelken spurs), lucent metaphyseal bands (Trummerfeld zone) and dense metaphyseal line (Frankel's line) more evident in left femur (Figure 2).