PEDIATRICS Vol. 24 No. 5 November 1959, pp. 858
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Letters to the Editor

JOHN CAFFEY M.D.1

1 Babies Hospital, New York, N.Y.

We have seen lesions, similar to those depicted by Dr. Woolley, follow acute osteomyelitis, trauma and scurvy. These lesions have never been seen by us in proved typical cases of vitamin A poisoning—either in the acute phase or during and after healing. Several years ago, however, we received films from Chicago in which one tibia was shortened and there was cupping of the tibial metaphyses at both ends, and the epiphyseal ossification centers were partially buried in the cups. This patient was said to have had vitamin A poisoning 7 years before.

I consider these to be nonspecific lesions which develop in a variety of circumstances.