A fracture, a family, legal entanglement, expensive investigation, and a familiar disease

Ujuchukwu Okpechi1 Department of Pediatrics, [email protected]

Kevin Regis2 Department of Emergency Medicine, Cook County Health and Hospitals System, John H Stroger Jr Hospital, Chicago, IL, USA, [email protected]

Rosibell Arcia1 Department of Pediatrics, [email protected]

Kenneth Soyemi1 Department of Pediatrics, [email protected];2 Department of Emergency Medicine, Cook County Health and Hospitals System, John H Stroger Jr Hospital, Chicago, IL, USA, [email protected]Correspondence[email protected]

Abstract

Osteogenesis imperfecta can be commonly mistaken for child abuse because of similar pattern of injuries. AA is a 3-week-old baby who presented to our emergency department with excessive crying. Skeletal survey revealed subacute spiral fracture of the right humerus, right posterior eighth and ninth ribs, acute fracture of the left femur, bowing of tibia and femur, and osteopenia. Subsequent geneticist examination and genetic testing noted blue sclera and heterozygosity for a variant of COL1A gene.

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A fracture, a family, legal entanglement, expensive investigation, and a familiar disease

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A fracture, a family, legal entanglement, expensive investigation, and a familiar disease

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