Case 28

 

He has lived in a far city when he received a call telling him that his brother who lives in a village and suffering from some mental retardation developed fainting attack, he immediately went and brought him to us.

His examination revealed marked pallor, rough skin, huge splenomegaly.

Investigations:

                       - pancytopenia

                       - indirect hyperbilirubinemia (bilirubin 2.1)

                       - normal transaminases

 

 

 

What is the possible diagnosis?

 

How to manage this patient?

 

 

 

 

 

 

 

 

 

 

 

Answer

 

Answer