Department of Clinical Pathology, Clinical Biochemistry & Haematology, Bangladesh Institute of Research & Rehabilitation in Diabetes Endocrine and Metabolic Disorders (BIRDEM),Shahbag, Dhaka, Bangladesh
Department of Tranfusion Medicine, BIRDEM and Ibrahim Medical College,Shahbag, Dhaka, Bangladesh
This is a case report of a 13 years old indigenous ‘Garo’ girl who presented with purpuric spots and ecchymotic patches all over the body with menorrhagia, mild jaundice, severe anaemia, marked thrombocytopenia, moderate neutrophil leucocytosis and reticulocytosis. Investigations revealed this as a complex case of Haemoglobin E disease with immune thrombocytopenia (ITP) and combined iron, folate and vitamin B12 deficiency. The case is discussed thoroughly.
Ibrahim Med. Coll. J. 2012; 6(1): 31-33
Key words: Hb E disease, immune thrombocytopenia, combined deficiency.
