Posted On :
31 Oct 2008
A 12 year old hiv positive female presented with progressive abdominal distention since a year and severe short stature. No history suggestive of cns, cvs or hematological system involvement. There was admission for 7 days at 6 yrs of age for fever {details not available}. Father died of kochs 5 yrs back. Mother died postpartum- cause not known. Younger sib also expired. Paient is severely short statured with height age-6yrs and weight 17 kg. She has huge {17cm} spleen. Left lobe liver is palpable 5 cms in mid sternal line. Hemoglobin is 6, peripheral smear-hypo micro, wbc and platelet-wnl. Bili 1.3. Bone age more than 12yrs. Osteopenia on X-ray. what working diagnosis to keep in this case? How to investigate further?
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