case_images: PMC5946015_01
case_images: PMC5946015_02
case_images: PMC5946015_03
case_images: Patient's clinical features on admission: swelling and antalgic posture of left tight (A), pigmented and easy bleeding gums (B), petechial lesions (C).
case_images: fped-06-00126-g0001.jpg
case_images: PMC5946015_03_fped-06-00126-g0001.jpg
case_images: F1
case_images: Swollen and bleeding gums, diffuse petechiae, swollen and intense pain at left tight could be documented (Figure 1.
case_images: Lower limb X-Ray showing generalized osteopenia, metaphyseal spurs with concomitant cupping of the metaphysis ("Pelken spurs", arrow A), lucent metaphyseal bands ("Trummerfeld zone"; arrow B) and dense metaphyseal line ("Frankel's line"; arrow C). Extended periosteal reaction could also be documented (arrow D).
case_images: fped-06-00126-g0002.jpg
case_images: PMC5946015_03_fped-06-00126-g0002.jpg
case_images: F2
case_images: Femoral X-ray documented extended periosteal reaction, metaphyseal spurs with concomitant cupping of the metaphysis (Pelken spurs), lucent metaphyseal bands (Trummerfeld zone) and dense metaphyseal line (Frankel's line) more evident in left femur (Figure 2).