A 13-Year-Old Boy With Recurrent Lower Leg Pain

Prasenjit Das, MD, MBBS; Elanthenral Sigamani, MD

Disclosures

June 13, 2017

Editor's Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.

Background

A 13-year-old boy presents to the orthopedic outpatient department with a 1.5-year history of mild, recurrent pain in his left lower leg, with recent exacerbation of the pain after a trivial trauma during outdoor activity. According to the patient, he has been feeling mild fullness over the left medial malleolus for more than 1 year, without it causing much pain. He has no history of systemic symptoms, such as fever, or any other significant medical history. He also has no significant family medical history.

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