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September 1985

Radiological Case of the Month

Author Affiliations

From the Department of Radiology, Wilford Hall USAF Medical Center, Lackland AFB, Tex.

Am J Dis Child. 1985;139(9):923-924. doi:10.1001/archpedi.1985.02140110077034

This 11-week-old female infant was admitted for the evaluation of progressive anemia and failure to thrive. The infant was the product of a normal pregnancy and a spontaneous full-term delivery. She weighed 3.5 kg at birth, and at 3 days of age had a hemoglobin (Hb) value of 15.2 g/dL and a hematocrit (Hct) value of 44%. She was breast-fed, and at 2 weeks of age weighed 3.9 kg. At 7 weeks of age, she weighed 3.9 kg, with an Hb value of 11.7 g/dL and an Hct value of 34%. Urinalysis showed 3 + protein with six to eight red blood cells per high-power field. She subsequently exhibited poor weight gain, and at 10 weeks of age had an Hb value of 7 g/dL and an Hct value of 21%. During the week prior to admission, a marked decrease in activity was noted, as well as poor feeding. Urine output