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A child with Kohlerâs disease may present similarly to a child with a foot injury. An examination will reveal pain and tenderness over the dorsomedial midfoot, with or without local skin changes. Affected children typically walk with a limp or antalgic gait, with weight bearing on the lateral side of the foot.
The Warning Signs of Munchausen Syndrome by Proxy. Itâs important to look for warning signs in both the child and the caretaker. The warning signs in a child include: a history of repeated injuries, illnesses, or hospitalizations. symptoms that donât quite fit any disease. symptoms that donât match test results.