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Nail patella syndrome

Case contributed by Naim Qaqish
Diagnosis certain

Presentation

N/A

Patient Data

Age: 5 years
Gender: Male
x-ray

LUMBOSACRAL SPINE X-RAY:

Normal alignment of vertebral bodies.

Triangular in shape shadow is noted at the right side of the pelvis suggesting sacral hemi-vertebra.

Rest of vertebral bodies’ height and disc spaces are preserved.

Bilateral iliac horns are seen.

Decreased height and fragmentation of the left femoral head epiphysis is also noted.

BOTH FEET X-RAY:

Flattening of both plantar arches is noted suggesting bilateral flat feet.

Impression:

  • The findings are highly suggestive of nail-patella syndrome.

Case Discussion

Radiological features of bilateral iliac horns are pathognomonic for Nail patella syndrome.

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