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An inherited disorder with bone fragility

Case Identification
Case ID Number: 
Periosteal Reaction: 
Clinical case information
Case presentation: 

The patient is a 35-year-old woman who has pain in the top of the right proximal femur. The patient has a history of an inherited syndrome affecting growth and bone development.

Radiological findings:: 
She had precocious onset of sexual development. On examination the patient has short stature. There is a large café au lait spot over the right side of the neck and over the back. It has a regular border. See the xray images.
Laboratory results:: 
No contributory findings.
Differential Diagnosis: 
What is your differential diagnosis?
Treatment Options:: 
What should be done?