Presentation of Case An eight-year-old girl was admitted to the hospital because of multiple osteolytic lesions. She was well until approximately six months earlier, when varicella occurred; after several weeks at home she returned to school. During the next week or two the child complained of intermittent fleeting pains in the left ankle, but her parents found no objective abnormality. Five months before admission the ankle pain increased, and mild local swelling was observed about the ankle. A day or two later swelling was noticed over the medial aspect of the right clavicle. The child recalled minor injury to the.
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