A 15-year-old healthy Caucasian male (body mass index: 21 kg/m 2 , height: 171 cm, and weight: 60 kg) with no medical or surgical history presented with increasing left leg pain for about 1 week. He was physically very active and the leg pain was aggravated by exercise. Physical examination revealed a pale and cold left foot with new onset of dorsal foot necrosis
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