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A correction has been published: N Engl J Med 1994;331(23):1599.

A correction has been published: N Engl J Med 1995;332(8):540.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 331:1005-1012 October 13, 1994 Number 15
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Case 37-1994— A Newborn Boy with Petechiae, Hepatosplenomegaly, Leukocytosis, and Thrombocytopenia
Robert I. Parker, and Phuong L. Nguyen

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 by Locatelli, F.
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Presentation of Case

A newborn boy was admitted to the hospital because of petechiae and massive splenomegaly.

The infant was born in the 39th week of the sixth pregnancy of a woman 35 years old. The pregnancy was complicated only by a febrile illness with vomiting, diarrhea, and dehydration during the third month. There was no evidence of fetal distress, and the baby was vigorous; the Apgar score was 8 at both one minute and five minutes. The birth weight was appropriate for the gestational age. In the nursery abdominal distention and petechiae were observed. Hematologic studies were performed (Table 1). . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Robert I. Parker's Diagnosis

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References


Related Letters:

Case 37-1994: Juvenile Chronic Myelogenous Leukemia
Locatelli F., Comoli P., Rosti V., Grabowski E. F., Ebb D. H., Ferguson W. S., Parker R. I.
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N Engl J Med 1995; 332:540-541, Feb 23, 1995. Correspondence

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