Rimjhim Shrivastava

A 6 month old male, diagnosed as hyperlipidemia at 3 month of age His triglyceride was 1732 mg% and Cholesterol of 271 mg%. He was started with Tab Atorvastatin 10 mg OD. After one month TG was 732 mg%. Child is also having alopecia over the scalp and very sparse eyebrows and eye lids in addition to delayed milestones. His weight is 4 kg since last 3 months and has a liver of 6cm,soft to firm. The first twin died at the age of 46 days due to - SIDS.

Are we missing on something? What should be done?

A 3 years year old boy presented with increased pigmentation of lips, knuckles and toes since 6 months of age. The child is on full vegetarian diet. He has very poor intake of vegetables and fruits and also is a very fussy eater. Investigations showed: Hemoglobin = 10.0 gm/dl (Peripheral smear shows dimorphic anemia and hypochromia present), WBC count = 4,000/cu mm, platelet count = 1,40,000/cu mm  

What is the cause of his hyperpigmentation? How to confirm the diagnosis? How to treat this problem? How to rectify the problem?

Ira Shah
Cushing's Syndrome. Read about cushing's syndrome, it's causes, symptoms, laboratory tests, treatment.

Ira Shah
Breast Enlargement (Gynecomastia) Read about gynecomastia, it's occurrence, causes, laboratory tests, treatment.

These are questions asked by our viewers to the experts on the panel of Pediatric Oncall.

Parents brought their child of 9 months for measles vaccine. They informed me that in past they have taken only IPV and not taken OPV. They were asking me that in future should they give OPV or they should take only IPV.

A 4 months old boy presented with cough and cold since 7 days and increased rate of breathing since 3 days. There is no fever, refusal of feeds, lethargy. On examination, he has heart rate of 110/min with respiratory rate of 52/min without chest retractions. On systemic examination, bilateral hyperresonant note over lung fields with obliteration of cardiac dullness and bilateral crepitations and rhonchi. Liver and spleen are palpable. Other systems are normal. What is the possible diagnosis? How to work up for viral infection?

SPOT DIAGNOSIS

Mangla Sood,

A 12-year-old girl presented with an itchy rash on her left planter surface of the foot which had started 2 weeks ago with symptoms progressively worsening. She also noticed a small raised lesion over the itchy area which had increased in size. The family had spent the summer vacations in their grandparents’ home at Orissa, where the children played in sand and swam in the ocean.



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