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Classifications of Legg-Calve´-Perthes disease (LCPD) may be divided into three categories: those defining the stage of the disease, those attempting to prognosticate outcome, and those defining outcome. Although Arthur Legg MD [13], Jacques Calve´ [2], and Georg Perthes MD [17] share credit for their descriptions of the disease published betwee There are four stages in Perthes disease: Initial / necrosis. In this stage of the disease, the blood supply to the femoral head is disrupted and bone cells die. Fragmentation. Over a period of 1 to 2 years, the body removes the dead bone beneath the articular cartilage and quickly.... Pediatrics⎪Legg-Calve-Perthes Disease 14 mar 2020 · The Orthobullets Podcast In this episode, we review the high-yield topic of Legg-Calve-Perthes Disease from the Pediatrics section

may show bilateral proximal femoral epiphyseal defects. distinguished from Legg-Calve-Perthes disease by its symmetric and bilateral presentation, early acetabular changes, and lack of metaphyseal cysts. when bilateral Legg-Calve-Perthes is suspected, perform skeletal survey of other joints to rule out MED 1) STEPS - reading the Orthobullets Steps of a skill that have been created by orthobullets. Orthobullets Techniques are largerly incomplete at this time, and will see rapid improvement as they are updated by experts in the field over the coming months. Mastery Trigger: Check the Mark Skill as Read under each Step

Legg-Calve-Perthes Disease Slipped Capital Femoral Epiphysis (SCFE) Pediatric Knee Congenital Dislocation of the Kne Perthes disease, also known as Legg-Calvé-Perthes disease, refers to idiopathic osteonecrosis of the femoral epiphysis seen in children. It should not be confused with Perthes lesion of the shoulder. It is a diagnosis of exclusion and other causes of osteonecrosis (including sickle cell disease, leukemia, corticosteroid administration, Gaucher.

Perthes disease is a condition of the hip joint that begins in childhood and can lead to hip pain as well as long-term damage to the hip joint. The cause of Perthes disease has been the subject of numerous theories, but no clear source had been identified Perthe's DiseasePerthe's Disease is a condition which isis a condition which is pathologically characterized by idiopathicpathologically characterized by idiopathic avascular necrosis of the epiphysis of theavascular necrosis of the epiphysis of the femoral head in a child.femoral head in a child Legg-Calvé-Perthes disease: an overview with recent literature. The evolving knowledge on Legg-Calvé-Perthes (LCP) demonstrates the utility of studying a rare disease systematically by piecing together the biology and mechanics of this condition and applying clinical observations to improve patient care. As treatments of less common diseases are.

Perthes Disease - Legg-Calve-Perthes - OrthoInfo - AAO

Legg-Calve-Perthes (LEG-kahl-VAY-PER-tuz) disease is a childhood condition that occurs when blood supply to the ball part (femoral head) of the hip joint is temporarily interrupted and the bone begins to die. This weakened bone gradually breaks apart and can lose its round shape Summary. Legg-Calvé-Perthes disease (LCPD, or Perthes disease) refers to an idiopathic, avascular necrosis of the femoral head.It may occur unilaterally or bilaterally and typically manifests between the ages of four and ten. Children experience hip pain on weight-bearing, which often projects to the ipsilateral knee and causes an antalgic gait.Early stages are only detectable on MRI but. Perthes disease (also Legg-Calvé-Perthes disease) is a childhood hip disorder that results in avascular necrosis of the femoral head. The cause is unknown. It can be differentiated from adult onset osteonecrosis because in Perthes there is healing and bone remodelling, whilst in osteonecrosis there is not

In this episode, Pediatric Orthopaedic Surgeon Dr. Rachel Goldstein reviews the high-yield topic of Legg-Calve-Perthes Disease from the Pediatrics section. Dr. Goldstein is a Pediatric Orthopaedic Surgeon and the Director of the Hip Preservation Program at the Children's Hospital of Los Angeles. Core Webinar - PEDIATRIC HIP CONDITIONS - by CHLA ** Sign Up for The Orthobullets Core Curriculum * Legg-Calvé-Perthes disease is a self-limited disease of the femoral head that presents in the first decade. The pathogenesis is thought to involve bone necrosis, collapse, and repair. The presenting complaint is often a painless limp or hip pain, with decreased abduction and internal rotation of the hip Legg-Calvé-Perthes disease (LCPD) is an idiopathic form of avascular necrosis of the immature proximal femoral epiphysis. As it occurs in the growing skeleton, there are peculiarities that distinguish it from the adult type of avascular necrosis of the femoral head. It is important to keep in mind that this epiphysis bears a significant. This is especially true for Perthes Disease patients have a high risk of arthritis and subsequently requiring a total hip replacement. One case series found that >50% of all Perthes Disease patients will require total hip replacement with the mean age of initial total hip replacement of 37.8 years Prognosis. Most children with Perthes' disease have good outcomes, but pain, osteoarthritis, and ongoing hip dysfunction are common. Hip osteoarthritis rarely develops before 50 years of age. At least 50% of involved hips do well with no treatment. For patients who are less than 6.0 years of age, outcome is good, regardless of treatment

Pediatrics⎪Legg-Calve-Perthes Disease - The Orthobullets

Background: The clinical course of Legg-Calvé-Perthes disease (LCPD) is variable. Diagnosis, nonsurgical and surgical methods of treatment have evolved over many decades, from abduction casts and braces to advanced surgical containment methods which are now the mainstay of treatment Purpose: The aim of the study was to find out whether or not there is consensus among experienced pediatric orthopaedists about the management of certain clinical scenarios in Legg-Calvé-Perthes' disease. Methods: A questionnaire was sent to all 297 members of the European Paediatric Orthopaedic Society (EPOS) describing four cases of Legg-Calvé-Perthes' disease (LCPD) with two X-rays each.

Perthes disease varies in its severity and this dictates the treatment your child will receive. The overall aim is to keep the head of the femur (thigh bone) well-positioned in the hip socket and to maintain the movement of the hip joint. This encourages the blood supply to return and promote growth at the hip joint. Possibl Legg-Calve-Perthes disease is a complex pediatric hip disorder with many uncertainties. Various theories on its etiology have been proposed but none have been validated conclusively. Through experimental studies, however, some insight into the pathogenesis of a femoral head deformity after ischemic necrosis has been gained This was said to emphasize that Perthes is a remarkably variable disease, and objective studies must consider the known variables before concluding that one treatment is better than another. These variables include (1) the age at onset of disease, (2) the stage of disease at which treatment is applied, (3) a reliable classification of disease. Legg-Calvé-Perthes Disease (LCPD) is one of the least understood pediatric orthopedic problems in the last 100 years. The condition was originally reported by Henning Waldenstrom of Stockholm and Arthur T. Legg of Boston in 1909. Then, later, in 1910, it was reported in journals by Legg 1 in English, Perthes in German, and Calvé in French Background . The observation that the pathogenesis of femoral head deformity in Legg-Calve-Perthes disease (LCPD) relates to bone resorption without subsequent coupled bone formation leads quickly to the hypothesis that antiresorptive agents may provide a useful adjunctive avenue for therapy. Robust bone catabolism in the absence of anabolism can only lead to femoral head deformity

Perthes disease, also called Legg-Calve-Perthes Disease, occurs in children when blood stops flowing to the femoral head, which is the ball of the ball and socket joint of the hip. Like any tissue that loses circulation, the bone of the hip dies. Death of bone due to a lack of blood supply is called avascular necrosis (AVN) or osteonecrosis. When adolescents have avascular necrosis of the hip. Perthes' disease occurs in a part of the hip joint called the femoral head. This is the rounded top of the thigh bone (femur) which sits inside the hip socket (acetabulum). Something happens to the small blood vessels which supply the femoral head with blood. So, parts of the femoral head lose their blood supply Perthes disease. A flowchart depicting the pathogenesis of the femoral head deformity in Legg-Calvé-Perthes disease. VEGF = vascular endothelial growth factor. Gaucher's disease or Gaucher disease (/ɡoʊˈʃeɪ/) (GD) is a genetic disorder in which glucocerebroside (a sphingolipid, also known as glucosylceramide) accumulates in cells and.

Legg-Calve-Perthes disease is a childhood femoral head ischemia of unknown etiology that may lead to permanent hip deformity. Presence of synchronous, relatively symmetric bilateral head involvement should prompt the search for other etiologies. The Waldenstrom radiographic classification stages the disease and can be used to guide timing of. Perthes disease is a rare disease involving the loss of blood flow to the femoral head, or the ball of the hip joint. This disease affects children and can cause pain and deformation of the hip joint. Early intervention and specialized care from a pediatric orthopaedic surgeon can have a large impact on the outcome Legg-Calve-Perthes disease is a relatively rare disease, with a prevalence of approximately 1 in 10,000 children, but can have devastating long-term consequences on the child's mobility and quality of life. The age of onset of Legg-Calve-Perthes disease is most commonly between 4 and 8 years old Background: Femoral head containment in Legg-Calvé-Perthes disease (LCPD) can be either surgical or nonsurgical. The Salter or innominate osteotomy is a common method of surgical containment. This is a review of the technique and results of this osteotomy in LCPD

Multiple Epiphyseal Dysplasia (MED) - Orthobullet

  1. Perthes disease affects a wide age range of children (ages of 2 to 15) but the most common age range is between 4 and 9. Boys are four times more likely affected than girls. Ten percent of patients will have Perthes in both hips (referred to as bilateral Perthes disease). Usually one side is affected first and then the other side will get the.
  2. Legg-Calve-Perthes Disease, sometimes just called Perthes Disease, is a childhood condition that affects the hip joint. Blood flow to the hip doesn't get to the ball of the ball and socket joint. This causes structural damage to the ball. Perthes Disease occurs in several stages, often over the course of 1-2 years
  3. Signs and symptoms of Legg-Calve-Perthes disease include: Limping. Pain or stiffness in the hip, groin, thigh or knee. Limited range of motion of the hip joint. How is Perthes disease treated? Legg-Calve-Perthes can be treated without surgery, or with surgery, depending on the child's particular case and severity
  4. Perthes disease is a condition that affects the hip in children between the ages of four and eight. The condition is also referred to as Legg-Calve-Perthes disease in honor of the three physicians who each separately described the disease. In this condition, the blood supply to the growth center of the hip (the capital femoral epiphysis) is disturbed, causing the bone in this area to die. The.
  5. Abnormal growth and developmentAbnormal growth and development A delay in Bone age of 1.5 to 2 yearsA delay in Bone age of 1.5 to 2 years has been seen in children with pertheshas been seen in children with perthes disease.disease. Low birth weight has been seen inLow birth weight has been seen in patients with Perthes Disease.patients with.
  6. Description. Legg-Calve-Perthes disease is characterized by loss of circulation to the femoral head, resulting in avascular necrosis in a growing child. Clinical pictures of the disease vary, depending on the phase of disease progression through ischemia, revascularization, fracture and collapse, and repair and remodeling of the bone
  7. How is Legg-Calve-Perthes disease diagnosed? Children's bones heal quickly and have a good capacity for self-repair. Therefore, early diagnosis and treatment of Legg-Calve-Perthes disease allow as much time as possible for the head of your child's thighbone to remodel itself back into a round shape

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Legg-Calve-Perthes disease usually occurs between the ages of 3 to 12 years old, with the highest rate of occurrence at 5 to 7 years. It affects 1 in 1200 children under the age of 15. Legg-Calve-Perthes disease occurs most commonly in male patients, with a male to female ratio between 4:1 and 5:1. It is bilateral in 10% to 20% of affected cases Leggs-Anderson-Perthes Disease in 1966 and my experience. CherieMcNaul 23:38, 27 December 2019 (UTC) I was six years old when I was diagnosed with this disease in my right hip. This article is spot-on on describing the the attributes of this disease. However, the description of pain is rather minor Legg-Calvé-Perthes (LCP) disease is a common cause of hip pain and limp in preadolescent children. Early in its course, this condition, a form of idiopathic osteonecrosis (or osteochondrosis), may be difficult to diagnose both clinically and radiographically. MRI is a useful tool for the evaluation of LCP disease that may assist with prompt.

Practice Essentials. Legg-Calvé-Perthes (LCPD) disease is a childhood hip disorder that results in infarction of the bony epiphysis of the femoral head. LCPD represents idiopathic avascular necrosis of the femoral head. The disease is bilateral in 10-20% of patients and usually affects children aged 4-8 years Legg Calve Perthes Disease Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website Perthes' disease is the clinical manifestation of idiopathic femoral capital epiphysis vascular compromise, affecting children aged between 4 and 12 years when the epiphyseal blood supply is solely from the lateral epiphyseal vessels.1 The annual incidence of Perthes' disease among children under the age of 15 ranges from 0.2 to 19.1 per. Perthes' disease Peter Kannu, 1 Andrew Howard 2 a few boys and girls affected by Perthes' disease. Doctors encountering children with musculoskeletal complaints report a low confidence in their clinical skills in comparison with other body systems. 9 The medical literature suggests that just under half of cases of Perthes' disease in childre Dr. Dalia Sepúlveda demonstrates the pediatric exam of Perthes disease. For more information and videos, please visit http://global-help.org and http://www...

Signs and symptoms. These conditions nearly all present with an insidious onset of pain referred to the location of the bony damage. Some, notably Kienbock's disease of the wrist, may involve considerable swelling, and Legg-Calvé-Perthes disease of the hip causes the victim to limp. The spinal form, Scheuermann's disease, may cause bending, or kyphosis of the upper spine, giving a hunch-back. Coxa magna is a result of insult to the femoral head or epiphysis in childhood. Coxa magna deformity is a late radiographic finding in this patient with Legg-Calve-Perthes. Patients with Legg-Calve-Perthes is at risk for developing early osteoarthritis (OA) and femoral acetabular impingement (FAI) The purpose of this study was to evaluate 10-year outcomes in cementless monobloc total hip arthroplasty (THA) in a group of hips with Legg-Calve-Perthes disease (LCPD). We reviewed 71 patients (88 hips) who underwent cementless THA with a diagnosis of LCPD from 2003 to 2009. From the total of 71 patients, 34 men and 37 women with an average age of 49.94 years were included

Pediatrics Specialty Dashboard - Orthobullet

By Dr Sally Hobson, Hull Royal Infirmary, U Perthe's disease of the hip - can cause significant adult life problems - however it may be amenable to hip arthroscopic and /or reconstruction solutions at. Jane E Carreiro DO, in An Osteopathic Approach to Children (Second Edition), 2009. Legg-Calvéé-Perthes disease. Legg-Calvé- Perthes disease is an idiopathic condition affecting the growth of the capital femoral epiphysis. Unlike slipped capital femoral epiphysis, Legg-Calvé-Perthes disease usually presents between the ages of 5 and 8 years as a limp or pain in the extremity

Perthes disease Radiology Reference Article

Legg calve perthes disease. 1. Synonyms - Perthes Disease - Osteochondritis Deformans Juvenilis- Childhood Aseptic Necrosis of Femoral Head Dr. P. Ratan khuman (PT) M.P.T., (Ortho & Sports) 2. Definition Perthes‟ disease is a self-limiting form of osteochondrosis of the capital femoral epiphysis of unknown aetiology that develops in. Our Journey with Perthes Disease. 152 likes. This page is about our journey with Perthes Disease for my daughter and our family This is an example and condensed routine of gluteal strengthening, passive ROM and stretching exercises for a child with Perthes Disease (non weight bearing).. Perthes' disease is a condition of the hip joint that tends to affect children between the ages of three and 11 years. The top end of the thigh bone (femur) is shaped like a ball so that it can fit snugly into the hip socket. In Perthes' disease, this ball (femoral head) is softened and eventually damaged due to an inadequate blood supply. Aunque la enfermedad de Legg-Calvé-Perthes puede afectar a los niños de casi cualquier edad, es más frecuente que comience entre las edades de 4 y 10 años. El sexo de tu hijo. La enfermedad de Legg-Calvé-Perthes es cuatro veces más común en los niños que en las niñas. Raza

Perthes Disease: Symptoms, Causes, Diagnosis, and Treatmen

  1. Slipped capital femoral epiphysis (SCFE or skiffy, slipped upper femoral epiphysis, SUFE or souffy, coxa vara adolescentium) is a medical term referring to a fracture through the growth plate (physis), which results in slippage of the overlying end of the femur ().. Normally, the head of the femur, called the capital, should sit squarely on the femoral neck
  2. Pediatrics⎪Legg-Calve-Perthes Disease 14 Mar 2020 · The Orthobullets Podcast In this episode, we review the high-yield topic of Legg-Calve-Perthes Disease from the Pediatrics section
  3. Pediatrics⎪Legg-Calve-Perthes Disease 14 maalis 2020 · The Orthobullets Podcast In this episode, we review the high-yield topic of Legg-Calve-Perthes Disease from the Pediatrics section
  4. Legg-Calve-Perthes disease (LCPD) occurs when blood supply to the ball of the thighbone in the hip (femoral head) is disrupted.Without an adequate blood supply, the bone cells die. LCPD usually occurs in children between the ages of 4 and 10. Early symptoms may include limping; pain in the hip, thigh or knee; and reduced range of hip motion. Later in the disease course, there may be leg length.
  5. Perthes disease is a pediatric hip disorder that usually affects children between the ages of 2 and 14. The cause of this condition is currently unknown. Perthes disease leads to a loss of blood flow to the hip joint; however, experts do not know why that blood flow is disrupted
  6. Legg-Calvé-Perthes disease: treatment and prognosis. Griffin PP, Green NE, Beauchamp RD. Our experience in the treatment of Legg-Perthes disease using non-containment, containment, and surgical treatment supports the concept that containment is a key factor in the treatment of Legg-Perthes disease

Perthes ' disease - SlideShar

  1. What is Perthes' disease? Perthes' disease is the clinical manifestation of idiopathic femoral capital epiphysis vascular compromise, affecting children aged between 4 and 12 years when the epiphyseal blood supply is solely from the lateral epiphyseal vessels.1 The annual incidence of Perthes' disease among children under the age of 15 ranges from 0.2 to 19.1 per 100 000.2 Bilateral.
  2. Perthes disease is the name given to idiopathic AVN (avascular necrosis) of the femoral epiphysis in children. It most often occurs in children around the age of 5-6 years and is one of the common considerations when children present with an atraumatic limp or hip pain. On this page: Article
  3. اعرف المزيد عن داء بيرتس - Perthes disease, مرض ليغ- كالف - بيرثيز , Legg-Calve -Perthes disease اسبابه و اعراضه و طرق علاجه و غيرها من الامراض المتعلقة ب امراض العضلات والعظام و المفاصل من الطبي . انضم الآن إلى شبكة الطب
  4. Legg-Calvé-Perthes disease (LCPD) is a clinical condition affecting the femoral head of children during their growth. Its prevalence is set to be between 0.4/100000 to 29.0/100000 children less than 15 years of age with a peak of incidence in children aged from 4 years to 8 years. LCPD aetiology has been widely studied, but it is still poorly.
  5. Ontology: Legg-Calve-Perthes Disease (C0023234) Definition (MSHCZE) Aseptická nekróza hlavice kosti kyčelní, nejč. je mezi 3 až 10 lety věku, převažuje postižení chlapců. Projevuje se bolestmi v kyčli, později kulháním; bolest se může někdy přenášet do kolena. Mohou vzniknout svalové kontraktury a atrofie, změny jsou.
  6. Legg-Calvé-Perthes disease (LCP) severely limits the range of hip motion and hinders a normal gait. Loading of the hip joint is a major consideration in LCP treatment. The aim of this study was to evaluate gait patterns in LCP and identify gait modifications to decrease the load on the affected hip. Forty children with unilateral LCP were divided into three groups based on the time base.
  7. Perthes disease (Legg-Calvé-Perthes disease) is a relatively common disease of the hip in childhood, affecting 10.8 of every 100 000 children. Its cause and treatment are still topics of controversy

Legg-Calvé-Perthes disease: an overview with recent

What are the symptoms of Perthes' disease? Limping which may gradually become worse over a few weeks. Pain in the hip and groin area. The pain may be referred to the thigh or knee. Stiffness and reduced range of movement of the affected hip. Over time the muscles in the affected time may become. The cause of Legg-Calvé-Perthes (Perthes) disease is hypothesized to be single or multiple vascular events, followed by revascularization. Although several theories have been proposed over the years, it appears that Perthes is most likely multifactorial

Orthopaedics : Perthes Diseas

Legg-Calve-Perthes Disease Summary. Legg-Calve-Perthes Disease is a childhood disease involving disruption of blood supply to the head of the femur.The cause of this disruption is unknown, but it can lead to the development of avascular necrosis.Avascular necrosis is followed by regeneration of the blood supply and a healing phase, which involves remodeling of the bone BACKGROUND: Legg-Calvé-Perthes disease is a childhood hip disorder that may result in a deformed and poorly functioning hip. The purpose of this study was to evaluate the correlation between hip deformity at skeletal maturity and degenerative osteoarthritis and to present the long-term results of proximal femoral varus derotational osteotomy. Legg-Calve-Perthes disease, also known as Perthes disease, is a disorder of the hip in young children that usually occurs between the ages of 4 and 10. The hip is made up of the femoral head — the ball, which is the upper part of the femur — and the acetabulum — the cup that fits around the femoral head

Perthes' disease - Paediatric Orthopaedic

with Legg-Calvé- Perthes disease treated by Ilizarov technique between 1995 and 2014. The primary aim is to determine the maintenance of head coverage and joint congruity and functional outcomes of this Ilizarov technique. Methods: 26 patients with a mean follow up of 12 years (range 4 to 12) were included Perthes' disease: growth and aetiology 1411 Inthisconnection,transientsynovitisofthehipdoes not seem to be linked causally to Perthes' disease.16 33 34 The finding of skeletal dysharmony, particularly in the carpus at the time of diagnosis, implies the presence of a latent (incubation) period before the disease is expressed clinically. 5 20 The. Perthes Disease (Legg-Calve-Perthes Disease) Also called Legg-Calve-Perthes disease, this condition results from a loss of blood flow to the ball joint of the hip. When blood flow to the bone is reduced, the bone dies. This can cause the hip joint to collapse. Perthes disease affects children between 4 and 10 years old The cause of Legg-Calvé-Perthes' (Perthes') disease is hypothesised to be single or multiple vascular events, followed by re-vascularisation. Although several theories have been proposed over the years, it appears that Perthes' is most likely to be multifactorial. One study suggests that the age of onset conforms to a pattern typical of.

Perthes' disease Sydney Children's Hospitals Networ

INTRODUCTION. Legg-Calvé-Perthes disease [] typically heals with varying degrees of hip deformities [].Previous studies have focused on the description of the anatomical abnormalities of the femur [5, 6].However, the acetabular morphology may also influence the long-term prognosis of the disease [5, 7, 8].Acetabular deformities described in Legg-Calvé-Perthes disease include. Perthes disease or Legg-Calve-Perthes disease as it is sometimes known, is a condition which develops in childhood and affects the hip joint. There are two parts to the hip joint; the ball or femoral head and the socket (acetabulum). In cases of Perthes, the blood supply to the top of the thighbone (femur) around and underneath the ball part of.

OsteochondrosisPerthes Disease | eOrthopod

Legg-Calve-Perthes Disease (LCPD) is a pediatric hip disorder exemplified by idiopathic avascular necrosis (AVN) of the femoral head. Sometimes referred to as Coxa Plana, it is named after its most characteristic finding, a pathognomonic flattening of the femoral head. It belongs to a group of disorders known as the Osteochondroses. In Legg-Calve-Perthes disease, the complete process of bone death, fracture and renewal can take several years. The types of treatment recommended will depend on the: Age when symptoms began. Stage of the disease. Amount of hip damage. As Legg-Calve-Perthes disease progresses, the ball part of the joint (femoral head) weakens and fragments Perthes disease. Perthes' disease is a condition where the top of the thigh bone (the femoral head) softens and breaks down. It occurs in some children and causes a limp and other symptoms. The bone gradually heals and reforms as the child grows. The aim of treatment is to ensure that the femoral head reforms back into its normal shape so that. Abstract. Legg-Calvé-Perthes disease is a disorder of the immature hip in which there are necrosis and subsequent repair of the bone and marrow of the femoral capital epiphyseal ossification center accompanied by a variable amount of damage to the epiphyseal and physeal cartilage and by a range of secondary changes in shape and size of the articular cartilage, the epiphyseal model of the. Legg-Calvé-Perthes (leg cal-VAY PER-teez) disease, often called Perthes disease, is a problem that changes the hip joint and the way bone grows at the top of the thighbone (femur). It most often happens in one hip, but can affect both. one leg being shorter than the other (called leg length discrepancy

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