1)Thanks you have shown interest in case history i have sent*(hepatospenomegaly withhh anaemia). Ihave sent the case with examination point view only. So the discussion is restricted only to case history and approach.My q is whether thev h/o and clinical exam is suggestive of hemolytic anaemia. OF COURSE THE POSSIBILITY OF CHRONIC LILVER DISEASE and hiv u told is very likely but i want to concentate on anaemia . 2)PROPHYLACTIC PHOTOTHERAPY has been mentioned in fstandard books .Is it practised? because i have not seen in practise. kindly give detail about it. 3)One leading company has somewhere advertised rotavirus and malaria vaccine as forthcoming vaccine. ROTA vaccine was banned due to intussuseption and malaria still experimental. kindly tell latest update. Iap book also mention these as vaccine of mill;enium

1. Regaring the case, you may have to send the case again as it would be difficult to comment without knowing the background. We get hundreds of mails and keeping track of each becomes difficult.
2. Regarding prophylactic phototherapy, it may be used in extremely preemies and in patients with Criggler Najjer syndrome Type 1.
3. Regarding the ROTA vaccine and malaria vaccine, they are articles by themselves. We will let you know as soon as article on NEWER VACCINES is uploaded on Pediatric Oncall.