Case: Paediatric radiograph #108664928
Paediatric Advanced
Read this radiograph systematically before revealing the answer. What is the main abnormality?

Tip: scroll or pinch to zoom, drag to pan, and try Invert.
Answer: Osteogenesis imperfecta
What to look for in osteogenesis imperfecta
- Osteopenia, multiple fractures, Wormian bones.
Description by the image author (may be in another language): X-ray of a 24-year-old American man, who had suffered more than one hundred bone fractures in his lifetime, and received a childhood clinical diagnosis of type IVB OI. Genetic diagnosis in 2018 identified a previously uncatalogued pathogenic variant in the gene which encodes proα2(I) chains of type I procollagen, COL1A2, at exon 19, substitution c.974G>A. Due to childhood neglect and poverty, s
Educational case. The diagnosis comes from the image's documented source; the "what to look for" list describes the condition in general and is not a report of this individual image.





