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Paterson CR - It is important to be aware of this bone disorder in the differential diagnosis of fractures, to investigate appropriately and to recognize that the radiological appearances may be misleading. A mistaken diagnosis of abuse does real harm, not least to the child itself.

Exclusive Author Commentary
Colin R Paterson, 07/18/09

There is increasing evidence that vitamin D deficiency is a great deal more common than most physicians appreciate. In adults vitamin D deficiency may be misdiagnosed as as osteoporosis and treated inapprpriately. In children vitamin D deficiency rickets is one of the many causes of unexplained fractures and fracture-like appearances on x-ray. All too readily these are misdiagnosed as evidence of non-accidental injury.

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