Nedim Cakan, MD

A 14-year-old white girl whose menstrual periods have not begun presents with concerns that many of her peers are already menstruating.

A 6-month-old white girl presented with a 2-day history of fever and respiratory symptoms. Initially, she was admitted with a diagnosis of respiratory syncytial virus bronchiolitis. In addition to her respiratory findings, widespread signs of rickets were found--ie, frontal bossing, rachitic rosary, widening of the wrists, and double maleoli.