Malignant melanoma in children is rare. It can arise from congenital melanocytic nevi. In pediatric patients, diagnosis of melanoma is difficult and challenging because the physicians have a low index of suspicion. Marrow metastasis in malignant melanoma especially in children is extremely uncommon. Here, the authors reported a 5 year old girl who was presented with a 4 month history of pelvic ...

ABSTRACT Background Ewing Sarcoma is the second most frequent primary bone cancer, following Osteosarcoma in children. These tumors consist of small, round, or oval cells, which are believed to derive from parasympathetic autonomic nervous system. The common clinical presentations are pain, local tenderness, fever, palpable mass, and pathologic fractures. Methods and Materials This study de...

Background: Ataxia telangiectasia (AT) is one of the combined immunodeficiency syndromes with immunologic, neurologic, endocrinologic, hepatic and cutaneous abnormalities. Regarding the fact that autoimmune disorders; such as autoimmune hemolytic anemia (AIHA), are not generally expected in the course of AT, we present a patient with an unusual presentation of these two conditions. Case present...

The child who presents to the A&E department with a limp must be taken seriously. It is of paramount importance to include in the list of causes the possibility of infection. The diagnosis and treatment of subacute osteomyelitis in children is discussed to highlight the necessity for immediate referral and inpatient management.

In patients with ankylosing spondylitis (AS) who develop sudden and severe low back pain, serious causes such as infections, spinal instability, vertebral fractures should be considered in the differential diagnosis. A 34-year-old male patient AS, was previously remission for past 2 years (last visit 3 months ago), presented pain limping. He had bilateral sacroiliitis on magnetic resonance imag...

Introduction: Pain in the pediatric pelvis is often misinterpreted as an unusual ossification pattern of ischiopubic synchondrosis, also known van neck-odelberg illness. The primary symptom odd hip discomfort one (rarely both), which may come on suddenly or after overusing leg. This pain restrict mobility cause limping. Describe clinical and radiological features this uncommon sometimes misunde...

Psychogenic gait is common in patients with medically unexplained neurological symptoms and provides significant challenges to healthcare providers. Clinicians may arrive at a correct diagnosis earlier if distinctive positive signs are identified acknowledged. disorders of posture the major manifestation 8–10 % psychogenic movement disorders. can present varied phenomenology that resemble organ...

Antegrade intramedullary femoral nailing (AIFN) is used as the preferred treatment for diaphyseal and subtrochanteric femur fractures. Nevertheless, clinically important complications associated with obtaining nail entry including loss of hip abductor strength, chronic hip pain, heterotopic ossification and femoral head osteonecrosis have been previously shown.This study was aimed to evaluate t...