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Jennifer A. Jewell, MD, MS; Lorraine L. McElwain, MD; Amy S. Blake, BS
Author Affiliations: The Barbara Bush Children's Hospital, Portland, Me (Drs Jewell and McElwain); Dartmouth Medical School, Hanover, NH (Drs Jewell and McElwain); and University of Vermont College of Medicine, Burlington (Drs Jewell and McElwain and Ms Blake).

Arch Pediatr Adolesc Med. 2006;160:983.

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

A 23-month-old Sudanese girl had failure to thrive and an unusual gait. She was noted to be a happy, developmentally appropriate child (Figure, A) with bowed legs (Figure, B), thick wrists (Figure, C), and dental caries. Her weight (8.7 kg) and height (72.5 cm) were below the third percentiles for her age. Her diet consisted predominantly of breastfeeding 5 times daily; however, she did consume 500 mL of juice, 4 teaspoons of rice, and a few bites of a sandwich most days. Her medical history included iron-deficiency anemia that was corrected with oral iron supplementation. She was receiving no other medications. The patient was born in the United States after an unremarkable prenatal, delivery, and postnatal course. She resided in the northeastern United States with her parents. Laboratory studies revealed an . . . [Full Text of this Article]

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