DIAGNOSTIC DILEMMA

Pediatric Oncall
A 6 month old boy presents with multiple episodes of generalized tonic clonic convulsions since 1 month and continuous left-sided focal convulsions without loss of consciousness since, serum electrolytes, CSF lactate and pyruvate, serum calcium , liver function tests and renal function tests, serum ammonia and blood sugar were normal. What is the diagnosis? Read more... one week. Investigations in form of CBC, MRI brain, CSF analysis.

Last fortnight's query of a child with anasarca and pica had several replies and most viewers had suggested worm infestation and anemia leading to anasarca. The authors replied that on treatment with antiworm medications and hematinics the child improved.

REVIEW ARTICLE

Iron Deficiency and Health Consequences? K.N.Agarwal. . In India, anemia affects an estimated 50 percent of the population. In women, anemia may become the underlying cause of maternal mortality and perinatal mortality. Anemia also results in an increased risk of premature delivery and low birth weights. Latent iron deficiency is known to alter brain iron content and neurotransmitters irreversibly in fetal life and postnatal babies. These aspects have been reviewed.

CASE REPORTS

Pompholyx. Ira Shah, Kalpana Sengupta. A 5 year old male child presented with small pruritic vesicles over the fingers and toes. These vesicles were present over the volar aspects of the palms & soles and were initially fluid filled. Read more...

VIEWER'S CHOICE

IMAGE GALLERY

Emmanuel Onyekwelu
A 14 year old negroid girl with non-consanguineously married parents presented with a history of remote symptomatic convulsive seizures, mental subnormality, cognitive impairment since early childhood, and yellowish to brownish irregular skin lesions since infancy. She also has macrocephaly with prominent eyeballs, flat nasal bridge and an epicanthus inversus. Her skin lesions are depicted in the image. What is the diagnosis?



Last month's image gallery:
Case 1: Splenectomy is required.
Case 2: Tuberous Sclerosis

Try your clinical skills in the "SPOT DIAGNOSIS" for the fortnight and the lucky winner gets a child health CD - courtesy Pediatric Oncall

MEDICAL ADRIS

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Pediatric Oncall

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