Gahagan S, Rimsza M E
Department of Pediatrics, Maricopa Medical Center, Phoenix, AZ 85010.
Pediatrics. 1991 Nov;88(5):987-92.
Osteogenesis imperfecta may be difficult to differentiate from nonaccidental trauma. Social history may prejudice the physician in favor of or against considering the diagnosis of child abuse. Three cases of osteogenesis imperfecta that were initially diagnosed as nonaccidental trauma are presented. The availability of biochemical analysis of type I collagen was instrumental in confirming the diagnosis of osteogenesis imperfecta in all three cases.
成骨不全可能难以与非意外性创伤相鉴别。社会史可能会使医生倾向于或反对考虑虐待儿童的诊断。本文报告了3例最初被诊断为非意外性创伤的成骨不全病例。I型胶原的生化分析有助于确诊所有这3例成骨不全病例。
