© 2003 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Hepatosplenomegaly
Uncommon cause of hepatosplenomegaly in an immunocompetent patient
All India Institute of Medical Sciences, New Delhi, India
Correspondence to:
Correspondence to:
Dr Randeep Guleria, Department of Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India;
randeepg@hotmail.com
Accepted 20 January 2003
Answers on p 481.
Keywords: hepatosplenomegaly; leishmaniasis
| The first 150 words of the full text of this article appear below. |
A 35 year old man, non-alcoholic, an electrician by occupation and a resident of Delhi, was admitted with complaints of left upper abdominal discomfort, generalised weakness, lethargy, and exertional dyspnoea for the last five months. There was a history of two episodes of epistaxis five months previously. He did not have any history of weight loss, cough with expectoration, recurrent upper respiratory infections, haematemesis, melaena, or bleeding from any other site.
On examination, he was afebrile, markedly pale, anicteric, without any significant lymphadenopathy, petechiae, or sternal tenderness. His spleen was enlarged 12 cm below the left costal margin; it was not tender. The liver was also palpable 2 cm below the right costal margin. There was no ascites. His respiratory and cardiovascular examinations were normal.
Investigations revealed a haemoglobin concentration of 67 g/l, total leucocyte count of 1.3 x 109 cells/l (40% neutrophils and 60% lymphocytes), platelet count of
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Uncommon cause of hepatosplenomegaly in an immunocompetent patient
Postgrad. Med. J. 2003 79: 481-482.[Extract] [Full Text] [PDF]
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