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

Arch Pediatr Adolesc Med. 2001;155:611-612.

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

A 3-MONTH-OLD BOY was seen for pallor and oily stools. Findings revealed a hemoglobin level of 46 g/L; platelet count, 442 x 10⁹/L; and total lymphocyte count (TLC), 4.6 x 10⁹/L with polymorphs at 0.26 x 10⁹/L; lymphocytes, 0.72 x 10⁹/L; and monocytes, 0.02 x 10⁹/L. Moderate anisocytosis, mild poikilocytosis, hypochromia, microcytes, macrocytes, and teardrop and crenated cells were seen on peripheral blood film. Stool fat estimation at age 5 months was 14.75 g in a 3-day collection. Results of a sweat chloride test were normal. He was treated with oral iron and folic acid preparations and pancreatic enzymes and given 1 blood transfusion; his hemoglobin level improved initially (91 g/L). The TLC and absolute neutrophil count decreased, and at age 5 months the TLC was 1.8 x 10⁹/L . . . [Full Text of this Article]