You are here

Article Text

Article menu
Download PDFPDF
Problem solving in clinical practice
Of oranges and lemons: you are what you eat
  1. La Reina Sangaran1,
  2. John-Paul Smith2,
  3. Flavia Menegotto3,
  4. Athimalaipet V Ramanan1,4
  1. 1 Paediatric Rheumatology, Bristol Royal Hospital for Children, Bristol, UK
  2. 2 Paediatrics, Royal Devon and Exeter Hospital, Exeter, UK
  3. 3 Paediatric Radiology, Bristol Royal Hospital for Children, Bristol, UK
  4. 4 Translational Health Sciences, University of Bristol, Bristol, UK
  1. Correspondence to Dr La Reina Sangaran, Paediatric Rheumatology, Bristol Royal Hospital for Children, Bristol BS2 8BJ, UK; lareinasangaran{at}gmail.com

Abstract

A young boy presented with increasing lower limb pain and swelling for a month. At the time of his hospitalisation, he was unable to walk. We report the patient’s clinical journey with clinical commentary throughout, highlighting the importance that uncommon diseases may be diagnosed with a high index of suspicion and thorough history taking.

  • Paediatrics
  • Rheumatology
  • Child Health
  • Micronutrients

https://doi.org/10.1136/archdischild-2024-327057

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors LRS wrote the manuscript and performed the literature search. J-PS, FM and AVR did the clinical case management and edited the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.