A nine month old boy of Sindhi parents presented to you with complaints of pregressive lethargy, irritability & pallor since 6 months of age. Examination revealed severe pallor. Investigation showed Hb–3.8 mg%; MCV–58 fl; MCH–19.4 pg/ cell.hood film shows osmotic fragility is normal (target cells normoblasts). X-ray skull shows expansion of erythroid marrow. Which of the following is the most likely diagnosis –
A nine month old boy of Sindhi parents presented to you with complaints of pregressive lethargy, irritability & pallor since 6 months of age. Examination revealed severe pallor. Investigation showed Hb–3.8 mg%; MCV–58 fl; MCH–19.4 pg/ cell.hood film shows osmotic fragility is normal (target cells normoblasts). X-ray skull shows expansion of erythroid marrow. Which of the following is the most likely diagnosis –
💡 Explanation
A nine month old boy of Sindhi parents presented to you with complaints of pregressive lethargy, irritability & pallor since 6 months of age. Examination revealed severe pallor. Investigation showed Hb–3.8 mg%; MCV–58 fl; MCH–19.4 pg/ cell.hood film shows osmotic fragility is normal (target cells normoblasts). X-ray skull shows expansion of erythroid marrow. Which of the following is the most likely diagnosis –
✓ Correct Answer: B. Acute lymphoblastic anemia
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