Celiac disease with juvenile myelomonocytic leukemia - a rare case report

摘要

Meticulous examination and careful scrutinising of baseline laboratory investigations help us to arrive at appropriate differential diagnosis and to avoid life threatening invasive diagnostic procedures like a cardiac mass or mediastinal mass biopsy. Materials and Methods: A two and half year old boy born out of non- consanguineous marriage with normal perinatal and family history, referred for evaluation of anemia with hepatosplenomegaly. On exami- nation, the child was hypotonic, had distinct facial features with always smiling and occasional self mutilating behaviour. There is global devel- opmental delay with low IQ for age.