A 7 year old girl with anemia and massive hepatosplenomegaly

Abstract

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A 7 year old girl reported to the child outpatient department of a military hospital in Chittagong (South-East part of Bangladesh) Cantonment with the complaints of generalized weakness, loss of appe-tite, gradual distention of the abdomen and weight loss. The child was reasonably well and performing all her daily activities at her own 1 year before. She was also going to the school regularly and was worried when her parents noticed the distension of her abdomen and reluctant to take food adequately. The child also developed weakness and witnessed weight loss. At that time, there was no history of fever, jaundice, vomiting, hematemesis and melena.