This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Lewis Barness, MD; Enid Gilbert-Barness, MD

Am J Dis Child. 1992;146(3):369-370.

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

A 10-year-old boy presented with tiredness and pallor. Symptoms began about 6 months before presentation, when easy bruising was noted. Episodic bone pain in the lower extremities, hips, and shoulders had been present for 4 months. The patient had no relevant family history.

Results of physical examination were within normal limits except for marked pallor, numerous bruises, and a spleen that was palpable 6 cm below the left costal margin. The liver was palpable 2 cm below the right costal margin. Tendon reflexes were 4+ and symmetrical.

Results of laboratory studies revealed the following values: hemoglobin, 60 g/L; white blood cell count, 3.2x10⁹/L (polymorphonuclear cells, 0.24; lymphocytes, 0.62; monocytes, 0.12; and eosinophils, 0.02); platelets, 60x 10⁹/L; and reticulocyte count, 80 x 10^–3. Roentgenograms were obtained (Fig 1), and a bone marrow biopsy was performed (Figs 2 and 3).

The Editors welcome contributions to Pathological Case . . . [Full Text PDF of this Article]

Author Affiliations
Contributed from the Departments of Pathology and Pediatrics, University of Wisconsin, Center for Health Sciences, Madison.

Footnotes
Accepted for publication November 8, 1991.

Reprint requests to Departments of Pathology and Pediatrics, University of Wisconsin, Center for Health Sciences, E5/326, 600 Highland Ave, Madison, WI 53792.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?