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Scenes like this occur in emergency rooms every day. But in this case, the cause - page 3 / 5

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Other clinical features that may occur in people with all types of OI are thin, smooth skin;

loose joints; low muscle strength; and excessive sweating. People with OI may also bruise easily; however, because fractures often occur with very little trauma and during

normal activities, it is common for a child to have

bruising around the fracture site.

When health care professionals, child welfare workers, and law enforcement officials see an unexplained fracture in a child who appears “normal” and whose bones appear otherwise normal on x-ray, they often suspect child abuse. Tragically, however, OI is often mistaken for child abuse.

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Fortunately, there are several steps that professionals can take to help determine whether fractures are due to undiagnosed osteogenesis imperfecta.

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Was either parent ever diagnosed with OI or any brittle

bone disorder? Do either parent, siblings, or extended family members have a history of childhood fractures, spinal curvature, brittle teeth, hearing loss, or other clinical features that might indicate that they have a mild case of OI that was never diagnosed? It is not uncommon for the severity of OI to vary even within the same family.

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