Pediatric Hematology DiseasesBoard Review Questions of the Week
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Pediatric Hematology Diseases Sample Case:
A 7-year-old boy presents to you for evaluation of abdominal pain and rash that have been present for the past 2 days (see Figure 1).
His past medical history is significant only for an upper respiratory infection the previous week.
On physical examination, his vital signs are stable, but his abdomen is moderately tender, and his stool is guaiac positive.
There are several palpable, purpuric lesions over his ankles (see Figure 2).
In addition, he has swelling and small effusions of both knees.
His hemoglobin level and platelet count are both normal, and urinalysis shows no blood or protein.
The most likely diagnosis is?
Henoch–Schönlein purpura (HSP)
Hemolytic uremic syndrome (HUS)
Acute rheumatic fever
See the answer...
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