Pancytopenia and splenomegaly: a confounding clinical picture
Serena Schillaci, Tommaso Alterio Giuseppe Maggiore
Paediatric Hepatology, Gastroenterology, Digestive Endoscopy, Nutrition and Liver Transplantation Unit, IRCCS Bambino Gesù Paediatric Hospital, Rome, Italy
A 3-years old girl is evaluated for abdominal distension since birth. Blood tests show isolated pancytopenia (GB 2590/uL, Hb 6.4 g/dL, PLT 29000/uL) and physical examination reveals an enlarged spleen. The first suspicion is for a hematological disease, but an ignored anamnestic data helps to get the correct diagnosis.