Erschienen in:
01.10.2006 | Your Diagnosis
A suprarenal mass in a child
verfasst von:
Safak Gucer, Umran Caliskan, Canan Ucar, Yavuz Koksal, Alaettin Dilsiz, Gulsev Kale
Erschienen in:
European Journal of Pediatrics
|
Ausgabe 10/2006
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Excerpt
A 5-year-old boy was admitted to the hospital with complaints of abdominal pain, weight loss (2 kg lost in 2 months) and sweating lasting for 2 months. Past medical history was unremarkable. On physical examination his body temperature was 36.8°C (axillary), and the rest of the physical examination was unremarkable. The peripheral blood count showed a hemoglobin level of 14.2 g/dl, a hematocrit value of 41.7%, a platelet count of 318,000/mm3 and a white blood cell count of 5,900/mm3 with normal differential. No atypical cells were seen in his peripheral blood smear. The erythrocyte sedimentation rate was 31 mm/h, and the serum biochemistries were normal except for a temporary increase in transaminases. C-reactive protein was 64.2 mg/l (N: 0–10). Levels of urinary catecholamine metabolites, α-fetoprotein, and β-human chorionic gonadotropin were normal. Bone marrow aspiration revealed hypercellularity, but no malignant infiltration was seen. …
