My Case, Check it out

[nabeelraad]

9 months male .....he had a history of asthma when he was 2 months old where he recieved 20 injections of steroids over a 2 weeks duration plus oral steroids....now he is very very very very pale......active ...plays and smiles......say mama dada .....good appetite....no fever ......no palpable LN or liver or spleen.......big head compared to the body(the doctor said to me that my case is the one with the big head)........Visible vien near his left eye in the temporal area......few hairs in his head and his eyebrow.........normal bowels .....normal urination........no oedema ..........no clubbing........blood Hb=3.5 mg/dl....................

simply a very healthy baby but he is pale with relatively big head and hid Hb = 3.5


what is the Dx?

By the way I did very bad in the long case because I simply had no finding but the pallor ..............hope u make use of this.....coz 2 students(Me and the one before me) were shocked by this case...........GooD LucK

[ali al-kafaji]

weird case nabeel!!!!
i will say something related to the 20 steroid shock, that he had bone morrow depression????
mo lo mo mo?

ali

[Dr.Leo1984]

in my opinion the most signifigant sign is the Hb=3.5 mg/dl...

what about his other count regarding WBC and PLATELETS!!
don't think it's important to know??

thnx for sharing dr. and i am waiting the answer..really interesting case

[nabeelraad]

Aplastic an. + Favism

[Dr.Leo1984]

thnx for the answer... as i expected..aplastic anemia from 3.5 mg/ dl Hb
thaaaaaaaanx for sharing

[Dr.Lolitairaqia]

dear doc
i am sure that the asthma and steroid are not related to BMS....
you had to check other blood cells
as he has favisim,,,,,there is high susbtability to have aplastic anemia....the question is ,,,what is the MO that is responsible for causing aplastic anemia in these pt...and what does they do in normal pt ????
Good luck for the post exam test LOOOOOOOOOOOOOOOL

[hammodi]

hi dr lolita ,
it's parvo virus. in normal people, it causes common cold and sometimes the "slapped cheek syndrome". in people with spherocytosis and sickle cell anemia, it causes aplastic crises but i think it's temporary, right? i'm not sure

take care

[Dr.Lolitairaqia]

u r absolutely right
it is also called B19 virus

[Dr.Leo1984]

what's that ta7shesh dr lolita and drl hammodi...what's (BMS)????

B19?????

slapped cheek syndrome???????

[hammodi]

hi dr leo

the cheek becomes red as if slapped, caused by parvo virus as i said before