The accompanying illustration is of interest because of the unusual roentgenographic shadow of the epiphyses, which present the appearance of an epiphysis within an epiphysis. This phenomenon is explained on the basis of a two-stage growth of the epiphysis.
REPORT OF CASE
A white child, aged 2½ years, was referred by Dr. Julius Hess because of genu valgum. The only significant points in the history were as follows: He was a premature infant by four weeks and was breast fed for three and one-half months. At the age of 5 months, he developed a severe eczema which persisted for seven months and precluded the administration of orange juice, tomato juice, etc. He had an antipathy toward eggs. He was given cod liver oil and phosphorus from the fourth to the twenty-first months. Its administration was then discontinued for three months, when it was resumed. The physical observations of interest were
LEWIN P. RICKETSAN UNUSUAL ROENTGENOGRAPHIC MANIFESTATION. Am J Dis Child. 1927;34(3):388–389. doi:10.1001/archpedi.1927.04130210063006
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