5-year-old girl with bilateral lower leg pain
- PDF / 2,234,374 Bytes
- 2 Pages / 595.276 x 790.866 pts Page_size
- 15 Downloads / 171 Views
TEST YOURSELF: QUESTION
5-year-old girl with bilateral lower leg pain C. Kloth 1 & T. Wowra 2 & D. Vogele 1 & M. Beer 1 & S. A. Schmidt 1
# ISS 2020
History
Compliance with ethical standards
Five year-old girl with bilateral pain of the lower legs and pelvis for 4 weeks. Further symptoms were eyelid edema, swollen lips and a butterfly erythema on the face. Further elevated values for creatine kinase, muscle enzymes, troponin and LDH were registered, suggesting autioimmune process (Figs. 1, 2, 3 and 4).
Ethical approval All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Conflict of interest The authors declare that they have no conflicts of interest.
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
C. Kloth and T. Wowra contributed equally to this work. The diagnosis can be found at https://doi.org/10.1007/s00256-02003477-x * C. Kloth [email protected] 1
Department for Diagnostic and Interventional Radiology, University Hospital Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany
2
Department of Pediatrics and Adolescent Medicine, University Hospital Ulm, Eythstrasse 24, 89075 Ulm, Germany
Fig. 1 Axial T2w MRI image of the pelvis and the extremities without contrast agent. MRI imaging was performed 2 days after admission
Skeletal Radiol
Fig. 2 Coronal TIRM MRI image of the thighs
Fig. 4 a Ultrasound with a high-resolution 12.5 MHz transducer of superficial M. gastrocnemius. b Ultrasound imaging after 5 weeks
Fig. 3 a und b: • First Ultrasound imaging 6 days after admission with a high-resolution 12.5 MHz transducer of superficial musculus quariceps femoris • Ultrasound imaging after 5 weeks under therapy
Data Loading...
