Diagnostic Dilemma

Recurrent lip and prepucial edema


Author:
Question

Case Report: - A 10 years old boy presented with reddish rash with lip edema and prepucial edema on and off for the past 2 years. On examination there is no significant finding. There is no exposure to any particular allergen. On investigation:


·          Hemoglobin = 11 gm/dl


·          WBC count = 11,000/cumm [polymorphs 40%, lymphocytes 58%, eosinophils 2%]


·          ESR = 20 mm at end of 1 hour


·          C3 = 150 mg/dl (Normal = 90-120 mg/dl)


·          ANA = Negative


 



What is the diagnosis?
Expert Opinion :
His colonoscopy was suggestive of chronic villous atrophy. His sweat chlorides were normal. We started him on gluten free diet and the child is doing well currently.
Answer Discussion :
P
Pieter de Waal
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nefrtotic syndrome
16 years ago
B
BIBHU PRASAD NAYAK
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chronic urticaria
16 years ago

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