A correction has been published | View article
A 7-MONTH-OLD BOY with malnutrition and chronic diarrhea came to the emergency department with dehydration and metabolic acidosis. His medical history revealed that he had diarrhea, vomiting, and abdominal distension for 1½ months. His stool was defined as foul-smelling, greasy, and bulky. He was born from nonconsanguineous parents following an uneventful pregnancy. He had been breastfed until he was 3 months old, at which time he began receiving formula, rice, and biscuits.
At physical examination, his weight was 5800 g (<3rd percentile), his height was 68 cm (<75th percentile), and his head circumference was 42 cm(<10th percentile). He was dehydrated and his abdomen was severely distended but there was no organomegaly. Results of laboratory investigations were compatible with metabolic acidosis and mild hypokalemia. A complete blood cell count showed hemoglobin to be 11.4 g/dL; hematocrit, 35.3%; mean corpuscular volume, 71.9 fL; white blood cell count, 9.2 × 103/µL (9.2 × 109/L); and platelets, 220 × 103/µL (220 × 109/L). A peripheral blood smear revealed 36% granulocytes, 52% lymphocytes, 10% monocytes, 2% bands, and generalized acanthocytosis was noticed, involving more than 80% of erythrocytes (Figure 1).
Accepted for publication April 18, 2000.
Corresponding author: Ahmet Karadag, MD, Department of Pediatrics, Fatih University Medical School, Ciftlik Caddesi No. 57 06510, Emek Ankara, Turkey (e-mail: firstname.lastname@example.org).
Thank you for submitting a comment on this article. It will be reviewed by JAMA Pediatrics editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 2
Customize your page view by dragging & repositioning the boxes below.
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.