| Anemia, Rickets and Recurrent Diarrhea |
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| Clinical Problem: |
Ira Shah |
Medical Sciences Department, Pediatric Oncall, Mumbai, India
Address for Correspondence: Dr Ira Shah, 1, B St Francis Road, Vile Parle {W}, Mumbai 400056. India. |
A 2 and a half years old boy presented with abdominal distension and recurrent diarrhea for 6 months. Stools were frothy and had oil droplets. He also had a blood transfusion 2 month ago. At that time he had black coloured stools. There was no fever, bleeding from any site. Bone marrow examination at that time was normal. Doctor noticed bow legs at that time and gave 6 lakhs of Vitamin D. There was no jaundice, exposure to chronic drug abuse or altered sensorium. Diet was balanced mixed diet and immunization and milestones were normal. On examination, he was found to have palmar erythema, double malleoli, bow legs and hepatosplenomegaly with dilated tortuous abdominal veins with flow away from umbilicus. Other systems were normal. |
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