Case 21

 

 

An Egyptian villager boy 15 year-old, in the last months he started to comlpain from exercise intolerance, light headed, weakness, palpitation, pagophagia (eating ice) and gradual progressive dyspnea.

Examination:

Pallor, mild splenomegally, systolic murmur.

No other clinical findings of clinical significance.

 

 

 

 

 

 

 

 

Answer

 

Answer