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A 21-month-old with generalized edema, skin lesions, and hair loss because of kwashiorkor.
Growth chart illustrating almost complete growth arrest after 9 months of age in a child with nutritional rickets. The response to vitamin D2 supplementation is demonstrated.
The rachitic rosary (a row of beading at the junction of the ribs with their cartilages) is clearly seen.
Anteroposterior radiograph of the right leg showing osteopenia and osteomalacia. Widening of the epiphyseal plate, cupping, and fraying of the metaphyses are also seen.
Radiograph of the left forearm showing a pathologic fracture of the ulna and disuse atrophy in addition to the features of rickets noted inFig 4.
Case 2—Laboratory Results
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