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Case 138 

Case 138
Chapter:
Case 138
Author(s):

Ellen Chung

DOI:
10.1093/med/9780199758968.003.0138
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date: 05 December 2019

3-year-old with pain and swelling of left ankle. Both ankles are shown.

Lateral radiograph of the left ankle (left) shows a dense effusion (arrowheads), compared to the normal right.

Effusions may be caused by septic joints, toxic synovitis, trauma, and juvenile idiopathic arthritis (JIA). Dense effusion suggests hemarthrosis, such as with hemophilia....

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