anemia

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anemia

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exam
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11/04/05 - 05:36 AM

A 4 year old Sudanese boy developed sore throat & fever, treated with Co-trimoxazoe & trimethoprim. Now presents with leathergy, palor fever, splenomegali and anemia, what could be the cause?

a)Sickle cell anemia

b) hypoplastic anemia

c) G6 PD deficiency

d) Auto immune hemolytic anemia

e) Leukemia

an
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11/04/05 - 05:47 AM

c.G6PD def

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drkpp
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11/04/05 - 09:54 AM

a

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chemamr
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11/04/05 - 03:27 PM

drkpp: why do you think it´s A and it´s not C ???

i just want to learn more. I would probably choose C. So tell me what´s my mistake in this case.

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exam
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11/04/05 - 10:12 PM

Thanks a lot.

I thought it's G6PD deficiency but i was confused because I found that sulfonamides alone or in combination with trimethoprim can be a cause of anemia in G6PD deficient patients. But as this boy has taken trimethoprim & trimoxazole.

But sickle cell anemia is precipitated by the conditions which cause sickling of cells e.g fever, dehydration, acidosis, hypoxia but i've never read about any drugs causing sickling.

Any further comments welcome.

drkpp
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11/05/05 - 07:54 AM

ooopssss....

it is indeed c.

u r definately right chemamr. i think i got the "a" from the "an"....

sorry about that wink