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Figen ahin, MD; Tansu Sipahi, MD; Hümeyra Doan, MD; Ayegül Oksal, MD; Ülker Ertan, MD
From the Departments of Pediatrics (Drs ahin, Sipahi, Doan, and Ertan) and Pathology (Dr Oksal), Sami Ulus Children's Hospital, Ankara, Turkey.

Arch Pediatr Adolesc Med. 2000;154:1165-1166.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 13-YEAR-OLD girl was seen for complaints of abdominal distention and inability to walk. Her abdominal distention began in infancy, and her parents noticed that her legs bowed when she walked. In the last few months, she became unable to walk because of pain. On physical examination, her height was 95 cm (<3rd percentile) and her weight was 19 kg (<3rd percentile). Her liver was palpable 8 cm below the costal margin. Enlargement in her wrist and ankle joints and bowing of her legs were noted. She could not stand up without help (Figure 1). Radiographs of the extremities revealed severe rickets (Figure 2). Results of liver needle aspiration biopsy showed glycogen accumulation in the hepatocytes (Figure 3).

Her serum calcium levels were 2.25 mmol/L (9.0 mg/dL); . . . [Full Text of this Article]