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June 1975

Heel Cord Shortening With Ganglioneuroblastoma: Forms of Nitrogen in the Stools of Infants

Author Affiliations

Greenville General Hospital PO Box 2760 Greenville, SC 29602

Am J Dis Child. 1975;129(6):750. doi:10.1001/archpedi.1975.02120430082030

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Sir.—We have noted the report by Martin and Kosloske, which appeared in the February issue of the Journal (129:254, 1975), on the observed association of heel cord shortening with ganglioneuroblastoma. This immediately prompted us to mention a case of our own.

Report of a Case.—A boy, 8 years 8 months old, was referred to the State Crippled Children's clinic in February 1973 because of tight heel cords, present since the second year of life, that caused him to walk on his toes. Birth weight was 3.03 kg (6.7 lb) and his past health had been excellent except for a few minor respiratory infections. On physical examination, blood pressure was 90/60 mm Hg, bilateral esotropia was present, and both heel cords were tight so as to prevent flexion of the foot above neutral. Palpation of the abdomen disclosed a right lower quadrant mass approximately 15 cm in diameter that

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