Images in Clinical Medicine Vol 26(2), 2025

Authors

  • Mohammad Habibullah Assistant Professor, Department of Medicine, DMCH, Dhaka
  • Syed Atiqullah Associate Professor, Department of Medicine, DMCH, Dhaka
  • Sumaiya Parvez Honorary Medical Officer, Department of Medicine, DMCH, Dhaka
  • Syed Mohammad Monowar Ali Professor, Department of Medicine, DMC, Dhaka
  • Morshedul Alam Khan Indoor Medical Officer, Department of Medicine, Dhaka Medical College and Hospital
  • Md Asif Hossain Registrar, Department of Medicine, DMCH, Dhaka

DOI:

https://doi.org/10.3329/jom.v26i2.84374

Keywords:

Fanconi's Anaemia, Aplastic anaemia

Abstract

A 15-year-old girl presented with progressive fatigue lasting 6 months, multiple purpuric spots on both lower limbs, and bleeding gums over the past few days, leading to her admission at Dhaka Medical College Hospital. She reported repeated upper respiratory tract infections, low-grade fever, and increasing pallor in recent months. During her previous admission, she was diagnosed with pancytopenia of unknown cause, with normal bone marrow cellularity. She received two units of whole blood transfusion. Physical examination showed a severely anemic girl of short stature (4'6", below the 5th percentile), frontal bossing, polydactyly (six digits on the left hand), Café au lait spots, a hypopigmented macule on the back, non-palpable purpuric spots and ecchymoses on the limbs, gum bleeding, and ecchymoses on the tongue. There was no organomegaly or lymphadenopathy. She was subsequently diagnosed with aplastic anemia due to Fanconi’s anemia.

J MEDICINE 2025; 26(2): 171-172

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Published

2025-09-28

How to Cite

Habibullah, M., Atiqullah, S., Parvez, S., Ali, S. M. M., Khan, M. A., & Hossain, M. A. (2025). Images in Clinical Medicine Vol 26(2), 2025. Journal of Medicine, 26(2), 171–172. https://doi.org/10.3329/jom.v26i2.84374

Issue

Vol. 26 No. 2 (2025)

Section

Clinical Image

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