PT - JOURNAL ARTICLE AU - Alberto Berenguer AU - António Pedro Freitas AU - Gomes Ferreira AU - José Luis Nunes TI - A child with bone fractures and dysmorphic features: remember of pycnodysostosis and craniosynostosis AID - 10.1136/bcr-2012-006930 DP - 2012 Nov 21 TA - BMJ Case Reports PG - bcr2012006930 VI - 2012 4099 - http://casereports.bmj.com/content/2012/bcr-2012-006930.short 4100 - http://casereports.bmj.com/content/2012/bcr-2012-006930.full AB - Accidental bony injuries are common in children. Children may also present with bony injuries following non-accidental injuries. Pathological fractures, though extremely rare, are an important entity and constitute fractures that occur in abnormal bones, usually after minor trauma. Pycnodysostosis is a rare skeletal dysplasia characterised by a clinical phenotype that includes short stature, skull deformities, osteosclerosis, acroosteolysis and bone fragility. Often the disease is diagnosed at an early age as a result of the investigation of short stature. However, the diagnosis is sometimes delayed and must be considered in any child with a history of recurrent or multiple bone fractures and dysmorphic features. The purpose of this report is to describe the clinical, radiological and genetic issues of a 9-year-old girl with a long history of multiple bone fractures. She had been subjected to safeguarding investigations previously and was identified to have dysmorphic features diagnosed as pycnodysostosis associated with craniosynostosis.