TY  - JOUR
PY  - 2017//
TI  - Menkes disease mimicking child abuse
JO  - Pediatric dermatology
A1  - Droms, Rebecca J.
A1  - Rork, Jillian F.
A1  - McLean, Riley
A1  - Martin, Madelena
A1  - Belazarian, Leah
A1  - Wiss, Karen
SP  - e132
EP  - e134
VL  - 34
IS  - 3
N2  - Althouygh Menkes disease has well-recognized neurologic, developmental, and cutaneous features, the initial presentation may resemble child abuse. We describe a 5-month-old boy with multiple fractures indicative of nonaccidental trauma who was ultimately diagnosed with Menkes disease. Copper deficiency leads to connective tissue abnormalities and may result in subdural hematomas, wormian bones, cervical spine defects, rib fractures, and spurring of the long bone metaphyses. Several of these findings, including fractures and subdural hematomas, may be misinterpreted as child abuse.<br><br>© 2017 Wiley Periodicals, Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 0736-8046
UR  - http://dx.doi.org/10.1111/pde.13106
ID  - ref1
ER  -