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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.
Infants and Children. Symptoms of GSID, more commonly known as Congenital Sucrase-Isomaltase Deficiency (CSID), do not begin manifesting in infants until they begin to ingest sucrose- and starch-containing foods (e.g., juices, solid foods, formula, and medications sweetened with sucrose).