Open AccessThree-stage cytopenia in a child with congenital cavernous transformation of the portal vein
Author(s) -
М. Е. Лохматова,
И. О. Тайшихина
Publication year - 2018
Publication title -
rossijskij žurnal detskoj gematologii i onkologii
Language(s) - English
Resource type - Journals
eISSN - 2413-5496
pISSN - 2311-1267
DOI - 10.17650/2311-1267-2018-5-3-108-114
Subject(s) - cytopenia , medicine , confusion , pediatrics , stage (stratigraphy) , differential diagnosis , vein , surgery , radiology , pathology , bone marrow , psychology , paleontology , psychoanalysis , biology
The article represents a case of observation the patient aged 1 year 9 months with an isolated thrombocytopenia with a drop in platelets to 98 thousand/μL, that had been progressed during 1 year to three-stage cytopenia, which was the result of a congenital cavernous transformation of the portal vein. The differential diagnosis of young children’s cytopenia is a complex clinical task, which can be followed by errors in the diagnosis and, accordingly, the choice of therapy. The care of clinicians regarding only hematological pathology can lead to the confusion. The absence of clinical manifestations and moderate deviations in the hemogram (Hb – 98 g/l, RBC– 4.64 × 10 12 /l, PLT – 98 × 10 9 /l, WBC – 5.0 × 10 9 /l, GR – 0.79 × 10 9 /l) made the diagnostic search rather difficult in this case.