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Irritable Hip as the Inaugural Symptom for Neuroblastoma

Authors :
Hélder Nogueira
Edite Tomás
Jorge Mendes
Margarida Fernandes
Sara Alves da Silva
João Baptista da Costa Carvalho
Helena Barroca
Source :
Case Reports in Orthopedics, Vol 2018 (2018), Case Reports in Orthopedics
Publication Year :
2018
Publisher :
Hindawi Limited, 2018.

Abstract

Case Report. A four-year-old girl presented with fever and a painful limp in the left hip. Pain characteristics and anemia detected in the blood analyses were the first warning signs that the hip process was not standard. Although the primary suspicion was of septic arthritis, a CT scan of the abdomen revealed an adrenal neuroblastoma.Conclusion.The presenting signs of neuroblastoma are commonly atypical. About 25% of presentations are orthopedic and mimic a variety of severe orthopedic conditions. The most important clinical dilemma is distinguishing benign and self-limiting disorders from septic or malignant processes.

Details

ISSN :
20906757 and 20906749
Volume :
2018
Database :
OpenAIRE
Journal :
Case Reports in Orthopedics
Accession number :
edsair.doi.dedup.....83a38a108ba6ae6cee5816b8582e2cc2