Copper Deficiency

  • Etiology: lack of copper
  • Imaging: delayed bone age, osteoporosis – often severe, metaphyseal cupping, increased density in zone of provisional calcification, metaphyseal sickle shaped spurs especially in ulna, symmetric changes
  • DDX: child abuse

Radiology Cases of Copper Deficiency

Radiograph of copper decificency
AP radiograph of the knee shows metaphyseal cupping in the distal femur.