TY - JOUR T1 - Six-year-old boy with a slow-onset persistent back pain JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 286 LP - 288 DO - 10.1136/archdischild-2018-316648 VL - 106 IS - 5 AU - Giulia Caddeo AU - Paola Paganin AU - Giulia Gortani AU - Marco Carbone AU - Massimo Gregori AU - Egidio Barbi Y1 - 2021/10/01 UR - http://ep.bmj.com/content/106/5/286.abstract N2 - A 6-year-old boy was evaluated for a 6-week history of low back pain. Initially, the pain was exacerbated by movements, eventually showing a milder and fluctuating trend. History was unremarkable for previous traumatic events, fever or nocturnal pain. Physical examination revealed localised pain at palpation of the spinous processes at the lumbosacral level. Blood tests showed a normal blood count, negative C reactive protein (CRP) and erythrocyte sedimentation rate, normal lactic acid dehydrogenase (LDH) and creatine phosphokinase. A posterior–anterior radiograph of the lumbar spine resulted normal. An MRI scan revealed a lumbosacral transitional vertebra with bone oedema of the posterior arch until the spinous process. For better bone definition, a CT scan was performed ( figure 1 ). Figure 1 CT scan of the transitional lumbosacral (L5) vertebra. Questions Which causes of persistent low back pain should be ruled out in children under 10 years of age? OsteochondrosisNeoplasmFunctional painInfectionsWhat is the diagnosis in this patient?How is the diagnosis performed?How is this condition managed?Questions Answers can be found on page 2. ER -