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Question :

Posted On : 24 Aug 2004

Female child with chronic pallor for 2 years and needed blood transfusion 4 times previously. There is no fever , hepatosplenomegaly or lymphadenopathy Investigations: HB : 5.5 gm,dl, RBCs : 2500000, platelets : 120000,cc, wbcs : 11000,cc. What is the differential diagnosis?

Expert Answer :

No expert answer available.

Answer Discussion :

akanksha chichra

thalassemia

20 years ago

pediatriconcall

Since there is no hepatosplenomegaly, one may almost rule out hemolytic anemia. One must think of nutritional anemia, chronic blood loss such as worm infestation and even bone marrow hypoplasia. A complete blood count with indices and reticulocyte count with peripheral smear examination would decide on further line of investigation.

20 years ago

Victoria May

haemoglobinopathy
Iron deficiency anaemia

20 years ago

Dr Sanwar Agrawal

We need information on MCV and other indices, Hbf Percent etc. We do not have the age of the patient either. When was the onset of anemia is important for the differential.
From the info available it looks like pure red cell aplasia.

20 years ago

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