Saeed Bin Ayaz, Saima Rauf, Fatima Ayaz.
Recessive multiple epiphyseal dysplasia: a case report.
Khyber Med Uni Med J Jan ;11(2):104-6.

Multiple epiphyseal dysplasia (MED) is characterized by abnormal bone and cartilage development particularly affecting epiphysis of long bones. Individuals with MED present during childhood presents with hip pain, knee pain and waddling gait. The autosomal recessive MED is differentiated from the dominant type by the presence of hands, knees and feet malformations with scoliosis. We present here, a case of autosomal recessive MED, an eleven and half years old boy who presented with pain in knees, difficulty walking, abnormal fingers and abnormal toes. The radiographs of hands, knees and pelvis were suggestive of an abnormal epiphyseal development. After diagnosis, patient was counseled and he was advised analgesics and different exercises.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com