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R. K. Vasishta, MD, FRCPath; Nandita Kakkar, MD; A. K. Banerjee, MD, FRCPath; R. K. Marwaha, MD
From the Departments of Histopathology (Drs Vasishta, Kakkar, and Banerjee) and Pediatrics (Dr Marwaha), Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Arch Pediatr Adolesc Med. 1999;153:545-547.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 2-MONTH-OLD male infant presented with fever, which he had since age 1 month, and recurrent generalized seizures. On physical examination, jaundice, low-set ears, and a flattened nasal bridge were seen. The liver (4 cm below the right costal margin) and spleen (9 cm below the right costal margin) were palpable below the respective costal margins. Punched out ulcers in the perianal region were also seen. He was third in the birth order, with 2 older siblings who are still alive and healthy. There was no family history of consanguinity. Investigations revealed pancytopenia, a hemoglobin level of 40 g/L; a platelet count of 10 x 10⁹/L; total leukocyte count of 0.0027 x 10⁹/L, with 0.16 polymorphonuclear leukocytes, 0.78 lymphocytes, 0.04 myelocytes, and 0.2 monocytes; a prothrombin time of 25 seconds (control, . . . [Full Text of this Article]

PATHOLOGIC FINDINGS