4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
5 and half years old child born of non-consanguineous marriage and maratha by caste was presented with h/o vaginal bleeding intermittently every 3-4 months and lasting for about a month once started. She bleeds heavily around 15 cc per day and requires transfusion for that. This is ongoing since last three yrs ie when the age of the child was 2 yrs She has received multiple transfusions for that and it was observed by parents that the child stops bleeding after taking the transfusion by around 7-8 days. She is investigated for the same and LH\FSH, thyroid assay are normal. X ray limbs are not s/o McCune-Albright syndrome. Platelet count is normal and they are seen in clumps. Pt/pttk are normal. How to investigate further?
Answer
Rule out precocious menarche. Get an abdominal and pelvic ultrasound and hormonal assays of FSH, LH, Estrogen and Progesterone.
 
 
 
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