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Pathological Case of the Month
Bina S. Menon, MRCP;
Wan Maziah, WM, MMed;
Mutum Samarendra, MDPath;
Ahmad Toha, MMed
From the Departments of Paediatrics (Drs Menon and Maziah), Pathology (Dr Samarendra), School of Medical Sciences, Universiti Sains Malaysia, and General Hospital Kota Bharu (Dr Toha), Kelantan, Malaysia.
Arch Pediatr Adolesc Med. 2001;155:411-412.
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A 10-YEAR-OLD Malaysian girl was seen for a 7-month history of multiple swellings over the left thigh, upper arm, and anterior chest. Traditional healers had been consulted; however, the swellings continued to increase in size and to ulcerate. There was loss of weight and loss of appetite. On examination, 3 masses were noted measuring 7 x 4 cm over the left thigh, 4 x 5 cm on the left arm (Figure 1), and 5 x 3 cm over the chest wall. There were shotty cervical and inguinal lymph nodes palpable. Findings from general examination were otherwise unremarkable. Computed tomographic (CT) scans of the chest and abdomen were normal. The CT scan of the upper limbs is shown in Figure 2. The complete blood cell count showed a hemoglobin level of 127 g/L; white . . . [Full Text of this Article]
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