A Complex Case of Haemoglobin E Disease with Immune Thrombocytopenia and Combined Iron, Folate and Vit B12 Deficiency

Md. Sirazul Islam; Tashmim Farhana Dipta; Gazi Sharmin Sultana

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Issue: Vol.6 No.1 - January 2012

Authors: Md. Sirazul Islam, Tashmim Farhana Dipta, Gazi Sharmin Sultana

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.

Address for Correspondence: Professor Md Sirazul Islam, Department of Clinical Pathology, Clinical Biochemistry & Haematology, 122 Kazi Nazrul Islam Avenue, BIRDEM Dhaka- 1000, Email: drmsiraz@gmail.com