Article short contents


Slovenska pediatrija 2019; 26: 210-213


Case report

LEG PAIN AND LIMPING AS THE INITIAL CLINICAL MANIFESTATION OF NEUROBLASTOMA

Katja Prunk Volk
Zdravstveni dom Nova Gorica, Nova Gorica, Slovenija

Jera Grabnar
Sprejemno-triažna ambulanta, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Veronika Velenšek
Sprejemno-triažna ambulanta, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Orjana Velikonja
Klinični oddelek za otroško hematologijo in onkologijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Gašper Markelj
Služba za alergologijo, revmatologijo in klinično imunologijo Pediatrična klinika Univerzitetni klinični center Ljubljana Bohoričeva ulica 20, 1000 Ljubljana, Slovenija

Abstract

Leg pain and limping can also be a clinical manifestation of malignant diseases in a child. Apart from limping, nocturnal pain and pain at rest in a child with leukaemia, lymphoma, neuroblastoma or bone sarcomas, frequently we also see systemic signs and symptoms (fever, night sweats, weight loss). The presence of these signs and symptoms requires careful consideration as this could indicate a malignant dis­ease. This paper presents the case of a 3.5 year old boy with limping and hip pain as an initial clinical manifestation of neuroblastoma with bone and bone marrow metastasis. Through the clinical case basic features of neuroblastoma are also presented.

Key words: child, hip, pain, gait, neuroblastoma


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