A 12 year old female, hiv positive, presented with progressive abd distention since a year and severe short stature. no histiry s/o cns, cvs ,or hematological system involvement. h/o admission for 7 days at 6 yrs of age for fever(details not available). father died of kochs 5 yrs back. mother died postpartum??cause. younger sib also expired ?cause.pt is severely short statured ht age-6yrs wt 17 kg. huge (17cm) spleen. left lobe liver palpable 5 cms in mid sternal line. hb 6, p/s-hypo micro,wbc and plt--wnl. bili 1.3.bone age >12yrs. osteopenia on X-ray. what working diagnosis to keep in this case?? how to investigate further?
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