12 yr male child came with complaints of pedal edema since 2
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12 yr male child came with complaints of pedal edema since 20 days, followed by blackish discolouration of skin since 20 days then facial puffiness since 15 days.then followed by abdominal distension since 12 days. No h/o fever, cold, cough, decreased urine output, shortness of breath, bleeding manifestations, H/o similar complaints in the the past at 4 yrs of age treated as PEM.
o/e- child concious, coherent, afebrile, vitals stable, facial puffiness +, blackish discolouration of skin + on lower limbs, upper limbs and around shoulders upto clavicle- bullous type and peeling skin appearance with normal areas in between.p/A - soft, slightly distended, no organomegaly. no lymphadenopathy,
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Dr. P●●●●●p K●●●●●e General Medicine
Is it pellagra?
Oct 29, 2017Like