The patient at age 10 years.

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Presentation transcript:

The patient at age 10 years. The patient at age 10 years. A. Widening of wrists and ankles; B. conventional radiograph of the right wrist shows metaphyseal widening and irregularities in the distal growth plate of the radius; C. coronal T1-weighted MRI of right wrist shows irregularity of the distal physis and epiphysis of the radius; D. sagittal T1-weighted MRI of the right ankle demonstrates, in the tibia, irregularity of the distal physis and anterior portion of the metaphysis, with some marrow edema. Edema of the navicular bone can also be seen. SHEILA KNUPP FEITOSA de OLIVEIRA et al. J Rheumatol 2009;36:659-660